**Details** + **Department:** Revenue Cycle + **Schedule:** Full-time / M-F starting between 6:00 am to 6:00 pm CST/ 8 hour days. + **Hospital:** Ascension Wisconsin + **Location:** Fully Remote **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer._ **Responsibilities** Provide research, analysis and recommendation regarding the organization's compliance with regulatory/statutory requirements affecting patient billing and accounting practices. + Maintain current knowledge of regulations and statutes regarding patient billing and accounting practices. + Research questions related to the organization's compliance and provide recommendations. + Conduct regular bill audits. + Coordinate Medicare and other regulatory reviews/audits. + Provide recommendations to management based on audit results. + Monitor key compliance measures and develops corrective action plans based on analysis. + Ensure all claims are submitted in accordance with CCI guidelines by assisting Medicare billers with research, correction and processing of any claim not passing CCI edits. + Make recommendations for solutions to prevent recurrence of errors. + Analyze data to identify likely relationships, summarizes data and prepares summary materials for discussion with clinical and finance teams. + Design and refine reporting that provides insight for process improvement operations. **Requirements** Licensure/Certification/Registration: + Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred. Education: + High School diploma equivalency with 2 years of cumulative experience OR Associate'sdegree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required. **Additional Preferences** Ideal candidate will be well versed in coding guidelines, billing regulations and denial management workflows. Must have excellent skills with spreadsheets, possess the ability to analyze data and create pivot tables to identify trends, draft SOPs and make recommendations for rules in Epic to reduce denials. A minimum of 5 years coding or billing experience. Coding Certification (CPC, RHIT) desired but not required in lieu of experience / billing knowledge. Epic experience also a plus. **Why Join Our Team** Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that allow you to create a career path you love, all while delivering compassionate, personalized care to the communities we serve. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you. **Equal Employment Opportunity Employer** Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRights\_10\_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRightsSp\_10\_20.pdf) poster. As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension. Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp\_%20English\_formattedESQA508c.pdf) Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants. **This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.**