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Audit Coordinator

Company Description

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

Job Description

The Audit Coordinator reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Audit Coordinator will be responsible for coordinating the Audit activities relevant to the Central Business office of Northwestern Medicine West Region. This includes government and non-government ADR's, correspondence reviews, Medicare Bad Debt Cost reporting audits and others.

The Coordinator will receive, research and facilitate appropriate responses to audits within the contracted or payer timeframe. This position will gather information related to Medicare bad debts and ensure Medicare Bad Debt Cost Reporting is completed timely. In addition, the Coordinator will review medical records for both Governmental and non-Governmental audits and assists with post-discharge analysis and chart correction as needed.

Responsibilities:

  • Values, Patient Satisfaction and Service Excellence:
    • Demonstrates I-CARE values (Integrity, Compassion, Accountability, Respect and Excellence) in daily work and interactions.
    • Presents a friendly, approachable, professional demeanor and appearance.
    • Provides accurate information and timely updates to patients and customers.
    • Addresses questions and concerns promptly, or identifies appropriate person and resources to do so.
    • Provides directions or help to patients and customers with finding their way. Uses effective service recovery skills to solve problems or service breakdowns when they occur.
    • Demonstrates teamwork by helping co-workers within and across departments.
    • Communicates effectively with others, respects diverse opinions and styles, acknowledges the assistance and contributions of others.
  • Efficiency and Business Growth:
    • Uses organizational and unit/department resources efficiently.
    • Manages work schedule efficiently, completing tasks and assignments on time.
    • Contributes to opportunities and processes for continuous improvement.
    • Participates in efforts to reduce costs, streamline work processes, improve and grow services we provide.
  • Non-Clinical Role-Specific Roles & Responsibilities:
    • Conducts audits of charges as compared to clinical/medical record documentation.
    • Assists with responding to patients' inquiries concerning the accuracy of billed charges and charge descriptions.
    • Assists with resolving third-party payor inquiries and billing disputes.
    • Provides summary reports and analysis to hospital staff and management as requested and required.
  • AA/EOE.

Qualifications

Required:

  • 5 years of experience in Patient Financial Services.
  • High school diploma or equivalent.
  • Specialized training in medical terminology and coding.
  • Strong background in both Governmental and Non-Governmental billing as well as claims follow-up and insurance denials.
  • Knowledge of Medicare's Cost reporting analysis.

Preferred:

  • 5 -7 years of previous Patient Financial Services experience.

Additional Information

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Average salary estimate

$70000 / YEARLY (est.)
min
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$60000K
$80000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Audit Coordinator, Northwestern Memorial Healthcare

At Northwestern Medicine, we're passionate about our patient-first approach, making every interaction count towards better healthcare. As an Audit Coordinator, you'll play a vital role in enhancing our services while embodying our core values of Integrity, Compassion, Accountability, Respect, and Excellence. Located at 4525 Weaver Pkwy, Warrenville, IL, this position allows you to coordinate essential audit activities for our Central Business Office in the West Region. Your day-to-day responsibilities will include conducting thorough audits of medical record documentation, managing responses to various audits, and ensuring timely Medicare Bad Debt Cost reporting. You will also support your colleagues by providing accurate information on billing inquiries and helping resolve any issues that arise. With a strong focus on teamwork and efficiency, you'll contribute to our continuous improvement initiatives, making a difference in both our patients' lives and our organizational growth. At Northwestern Medicine, we value your dedication by offering competitive benefits, including tuition reimbursement, 401(k) matching, and opportunities for personal growth. Join us in this exciting role and be part of a team committed to transforming healthcare and enhancing the service experience for our communities. If you're ready to take your career to the next level, we'd love to hear from you!

Frequently Asked Questions (FAQs) for Audit Coordinator Role at Northwestern Memorial Healthcare
What does an Audit Coordinator do at Northwestern Medicine?

The Audit Coordinator at Northwestern Medicine is responsible for managing and coordinating audit activities relevant to the Central Business Office in the West Region. This includes government and non-government audit response initiatives and ensuring compliance with Medicare Bad Debt Cost reporting. By gathering necessary information and overseeing the accuracy of medical records, the Audit Coordinator plays a crucial role in maintaining the integrity of patient financial services.

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What qualifications are required for the Audit Coordinator position at Northwestern Medicine?

To apply for the Audit Coordinator role at Northwestern Medicine, candidates should have at least five years of experience in Patient Financial Services, along with a high school diploma or equivalent. Specialized training in medical terminology and coding is essential, and knowledge of both governmental and non-governmental billing processes, as well as Medicare cost reporting analysis, is preferred to ensure an effective response to audit inquiries.

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How does teamwork play a role in the Audit Coordinator position at Northwestern Medicine?

Teamwork is vital for the role of Audit Coordinator at Northwestern Medicine. The position involves collaborating with various departments to communicate effectively and assist co-workers, especially when dealing with patient inquiries or billing disputes. The emphasis on a cohesive work environment ensures that issues are resolved promptly and enhances the overall quality of service we provide to our patients.

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What are the key responsibilities of an Audit Coordinator at Northwestern Medicine?

The key responsibilities of an Audit Coordinator at Northwestern Medicine include conducting audits of medical records against charges, assisting with patient inquiries regarding billed charges, responding to third-party payor inquiries, and preparing summary reports for management. The role emphasizes accuracy, efficiency, and service excellence within the patient financial services process to continually improve operations.

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What can candidates expect in terms of career growth as an Audit Coordinator at Northwestern Medicine?

Candidates in the Audit Coordinator position at Northwestern Medicine can expect significant opportunities for career growth. The organization prioritizes continuous learning and professional development through various resources, including tuition reimbursement and specialized training programs. The role also allows for involvement in multiple improvement initiatives, expanding your skill set and opening doors for future advancement within the healthcare system.

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Common Interview Questions for Audit Coordinator
Can you describe your experience with audit processes in patient financial services?

In responding to this question, it's essential to highlight your relevant experience, detailing specific audit processes you've worked on, how you gathered and analyzed data, and how you collaborated with team members. Be sure to mention any particular successes or improvements you contributed to as a result of your auditing duties.

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How do you prioritize and manage multiple audits with tight deadlines?

When discussing your time management skills, it’s helpful to explain your method for prioritizing tasks. Mention any tools you utilize, such as project management software, and describe a specific situation where you successfully managed competing deadlines without compromising the quality of work.

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What steps do you take to ensure compliance with regulatory standards during audits?

To answer this, explain your understanding of the relevant regulatory standards governing audits in healthcare and illustrate the processes you implement to ensure compliance. Sharing a past experience that demonstrates your adherence to these standards will strengthen your response.

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How do you handle discrepancies found during audits?

Discuss your approach to addressing discrepancies during audits, emphasizing the importance of thorough investigation and clear communication. Offer an example where you effectively resolved a discrepancy and the impact it had on your department or organization.

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What is your experience with Medicare Bad Debt Cost reporting?

Here, you should provide details about your experience specifically related to Medicare Bad Debt Cost reporting. Describe the processes you followed, challenges you faced, and any successful outcomes from your reporting efforts.

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Can you share an example of a challenging audit you completed and what you learned from it?

In your response, narrate a specific challenging audit experience, focusing on the issues you encountered, the steps you took to address them, and the lessons learned. Highlight any skills you developed as a result of overcoming these challenges.

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What software or tools are you familiar with for conducting audits?

When answering this question, list the specific software and tools you have used in audit processes. Be sure to explain how these tools enhanced your efficiency and accuracy when conducting audits. If you have experience with data analytics tools, mention those as well.

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How do you stay updated with best practices in auditing within healthcare?

Explain your commitment to continuous learning in your response. Mention professional organizations, publications, courses, or other resources you utilize to stay informed. Sharing specific examples of how you’ve implemented new knowledge into your work can demonstrate your proactive approach.

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What role does communication play in an Audit Coordinator's responsibilities?

Describe the significance of effective communication in the role of an Audit Coordinator, with specifics on how you liaise with different departments and stakeholders. When possible, provide an example of how strong communication improved an audit outcome or helped to resolve a complex issue.

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How do you approach assisting team members or departments facing challenges?

In your answer, illustrate your teamwork skills by discussing your willingness to assist colleagues facing difficulties. Provide an example of a situation where you collaborated with others to find a solution, highlighting your problem-solving approach and dedication to shared success.

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Northwestern Medicine is the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine. The entities involved in Northwestern Medicine remain separate organizations. Northwestern Medicine is a t...

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Full-time, on-site
DATE POSTED
December 25, 2024

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