This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This position assumes the lead role in planning, organizing and conducting clinical compliance and operational audits of various functions, departments and/or activities of UnityPoint Health (UPH) and its affiliates. - Identify and evaluate clinical areas of vulnerability and regulatory risk - Collaborate with UPH Management to strengthen the internal control environment - Improve clinical documentation and reimbursement Hours: Monday-Friday, standard business hours Location: Remote - applicants preferably reside within the UPH footprint of Iowa, Illinois, or Wisconsin Qualifications - BSN - Bachelor's degree in nursing - Current RN license required - Minimum of five years audit and/or clinical chart review experience with a healthcare organization or insurance company - Experience related to coding, billing, proper documentation, medical necessity, and/or reimbursement - Working knowledge and experience with medical terminology, patient care services, medical record chart documentation (inpatient and outpatient), ICD-9 and ICD-10 diagnostic and CPT procedural coding - Experience with medical coding and/or medical records documentation audits is preferred - Familiarity with the Epic electronic medical records platform preferred Requirements - Demonstrates knowledge of basic audit skills and adheres to Internal Audit Standards and UPH Internal Audit policies and methodologies - Utilize system software to efficiently research, document and test areas of risk - Validate diagnosis and procedure codes assigned are adequately supported by documentation in the medical record - Regularly researches and utilizes outside resources to maintain and update knowledge of trending risks and best practices within the healthcare industry - Communicates audit test results and collaborates with UPH Management to identify effective action plans to address audit findings - Follows up with UPH Management to ensure action plans are implemented timely - Researches and develops appropriate audit programs and testing procedures that address compliance with clinical documentation requirements, coding, billing and other regulatory issues - Assesses clinical documentation, coding and billing practices for compliance with regulations of federal and state agencies and third party payers - Develops sound conclusions supported by audit evidence; identifies opportunities to improve compliance and operating efficiency - Works with management to improve UPH staff education, compliance and controls related to clinical documentation, coding, billing and other regulatory issues - Assists Internal Audit Management with research and/or risk interviews during the annual risk assessment - Provides input on the preparation of the annual Audit Plan - Participates in establishing and preparing departmental goals, standards, procedures and instructions which contribute to the efficiency and effectiveness of the department - Works collaboratively with other staff members to ensure optimal team functionality - Provides status reports on a regular basis for assigned projects - Maintains a high level of independence and objectivity - Performs special audit assignments and investigations as required Benefits - Paid time off, parental leave, 401K matching and an employee recognition program - Dental and health insurance, paid holidays, short and long-term disability and more - Pet insurance for your four-legged family members - Early access to earned wages with Daily Pay - Tuition reimbursement to help further your career - Adoption assistance to help you grow your family

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description BerryDunn is seeking a high energy, entrepreneurial, proactive Audit Senior with strong communication and organizational skills to join our Healthcare Practice Group. You will join a core team tasked with conducting audits, reviews, compilations and other services for our healthcare clients, particularly in the areas of senior living and hospitals. The Audit Senior will report to the Senior Manager. This position can be located out of either one of our New England offices or remote. - Perform client engagements from start to finish, which includes planning, executing, directing, and completing financial audits and managing to budget. - Gain comprehensive understanding of client operations, processes, and business objectives and utilize that knowledge on engagements. - Research and analyze financial statements and audit related issues utilizing electronic databases and employing audit software to review and compile financial information to resolve client issues discovered during the audit. - Develop and maintain a good working relationship with clients to enhance customer satisfaction and work with client management and staff at all levels to perform audit services. - Develop and communicate recommendations for business and process improvements. - Actively participate in planning meetings, closing meetings, and audit committee meetings as a key member of the audit team. - Supervise, train, and mentor associates and interns on audit process and assess performance of staff for engagement reviews. - Attend professional development and training sessions on a regular basis. - Willingness to learn and stay abreast of relevant regulations affecting clients. - Develop in-depth industry knowledge to serve as a consultant and subject matter expert to clients. - Actively engage in knowledge sharing with clients and associates. Qualifications - BS/MS degree in Accounting or related field. - 3+ years of progressive public accounting experience. - CPA or a desire to obtain your CPA with support from the firm. - Excellent analytical, technical, and auditing skills, rules and standards. - Ability to manage multiple engagements and competing priorities in a rapidly growing, fast-paced, interactive, results-based team environment. - Excellent organizational, communication and client service skills. - A desire to become an industry subject matter expert and business advisor to clients. Compensation Details The base salary range targeted for this role is $80,000 - $100,000. This position may also be eligible for a discretionary annual bonus based on factors such as company and personal performance. This salary range represents BerryDunn’s good faith and reasonable estimate of the range of possible compensation at the time of posting. If an applicant possesses experience, education, or other qualifications more than the minimum requirements for this posting, that applicant is encouraged to apply, and a final salary range may then be based on those additional qualifications; compensation decisions are dependent on the facts and circumstances of each case. The salary of the finalist selected for this role will be based on a variety of factors, including but not limited to years of experience, depth of experience, seniority, merit, education, training, amount of travel, and other relevant business considerations. Benefits Our people are what make BerryDunn special, and in return we strive to support our employees and help them thrive. Eligible employees have access to benefits that go beyond what’s expected to support their physical, mental, career, social, and financial well-being. Visit our website for a complete list of benefits and a look into our culture: Experience BerryDunn. We will ensure that individuals are provided reasonable accommodation to participate in the job application or interview process or perform essential job functions. Please contact careers@berrydunn.com to request an accommodation. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Physician Auditor is responsible for conducting detailed audits of physician documentation, coding, and billing practices to ensure compliance with regulatory standards, payer guidelines, and organizational policies. This role plays a critical part in maintaining the integrity of clinical documentation and revenue cycle processes, identifying areas for improvement, and supporting education initiatives for providers. - Audit physician documentation and coding for multi-specialty providers to ensure accuracy, completeness, and compliance with ICD-10-CM, CPT, HCPCS, E/M leveling, payer guidelines, and regulatory standards. - Review medical records to validate billed services, medical necessity, and identify discrepancies, errors, or potential fraud. - Prepare detailed audit reports with findings, recommendations, and corrective action plans. - Provide education and feedback to physicians, clinical staff, and team members on documentation improvement, coding accuracy, and compliance best practices. - Collaborate with coding, compliance, and clinical teams to resolve audit findings and support cross-functional projects. - Utilize audit results to deliver data-driven insights to providers and management for performance improvement and retraining. - Stay current with coding standards, payer policies, and healthcare regulations; maintain professional knowledge through workshops and publications. - Participate in internal and external audits, including regulatory inspections. Qualifications - 5 years of experience in physician coding required - 5 years auditing and/or clinical documentation improvement, Pro Fee setting required Requirements - One of the following certifications required: - Registered Health Information Technician (RHIT) - Certified Coding Specialist (CCS/CCS-P) - Certified Professional Coder (CPC) - Certified Professional Medical Auditor (CPMA) Benefits - Competitive wages - Parental leave (4 weeks paid) - Housing programs - Childcare reimbursement - Comprehensive Health Benefits: - Medical - Dental - Vision - Educational Programs: - Tuition Assistance - Existing Student Loan Repayment - Specialty Certification Reimbursement - Annual Supplemental Educational Funds - Paid Time Off: Up to five weeks in your first year of employment and continues to grow each year. - Retirement & Supplemental Insurance: - 403(b) Retirement plan with immediate matching - Life insurance - Short and long-term disability - Recreation Benefits, Wellness & More: - Up to $1,000 annual wellbeing reimbursement - Recreation discounts - Pet insurance

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Provider Audit and Reimbursement Auditor (PARD) position can fill two primary roles -- desk review/audit, and interim rate review. Incumbents analyze cost reports and provider statistical and reimbursement report information to determine accurate and timely tentative settlements of bad debt payments or other pass-through costs; perform limited and full desk reviews of cost reports for providers that receive Medicare reimbursement and assist senior staff who perform hospital audits. - Analyzes cost report and provider statistical and reimbursement report (PS&R) information to determine accurate and timely Skilled Nursing Facility (SNF), End Stage Renal Disease (ESRD) and Federally Qualified Health Centers (FQHC)/Rural Health Clinics (RHC) tentative settlements of bad debt payments or other pass-through costs. - Performs limited and full desk reviews of cost reports for SNFs, ESRDs, FQHCs/RHCs providers and hospitals that receive Medicare reimbursement. - Coordinates with the Senior and/or In-Charge auditor in performing hospital audits. - May be responsible for a number of special projects that could include duplicate interns and residents (IRIS) data, transmission of cost report information (HCRIS), wage index submissions, system for tracking audit and reimbursement (STAR) updates. - Assists management in the administrative functions of the department including creating and maintaining electronic and hard copy provider cost report files. - Attends entrance and exit conferences and advises healthcare providers on Medicare policy questions as needed. - Performs other duties as the supervisor may deem necessary. Qualifications - Bachelors' degree or a combination of education and experience in disciplines such as auditing, accounting, analytics, finance or similar experience in lieu of a degree - Demonstrated oral, written and interpersonal communications skills - Computer skills including knowledge of Microsoft office suite, Excel, Word, Outlook and PowerPoint Requirements - The Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) years out of the last five (5) years to be employed with the Company. - Background Investigation: If you are selected for this position, you must undergo a pre-employment Background Investigation, Drug Screen, and Identity Proofing documentation must be cleared prior to hire. - Identity Documentation: You must have access to a current and unrestricted REAL ID, U.S. Passport, U.S. Passport Card, Foreign Passport, or U.S. Permanent Residency Documents. Benefits - Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire - Short- and long-term disability benefits - 401(k) plan with company match and immediate vesting - Free telehealth benefits - Free gym memberships - Employee Incentive Plan - Employee Assistance Program - Rewards and Recognition Programs - Paid Time Off and Paid Sick Leave