Quality Auditor Revenue Cycle

4 weeks ago


Chicago Illinois, United States Northwestern Memorial Healthcare Full time
Job Description

The Quality Auditor, Revenue Cycle 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.

Responsibilities:

Responsible for providing quality audit services to evaluate and improve Revenue Cycle performance.

Ensures that all quality audits are completed accurately, objectively, and in a timely manner.

Completes all necessary documentation to support audit work.

Creates performance reports for staff, department, and revenue cycle division.

Identifies and produces reports for overall quality trends and provides input to Director, Revenue Cycle Training for training and development.

Makes recommendations for the development of action plans with trainers, Managers, Operations Coordinator, and/or Team Leads.

Analyzes data to derive conclusions and construct action plans.

Responds thoroughly and promptly to customer needs.

Manages customer relationships and follows issues through to closure.

Completes other duties assigned by Director, Revenue Cycle Training.

Additional Functions:

Coordinates audit schedule to ensure compliance with quality audit procedures for staff and departments.

Completes individual staff quality audits for the Revenue Cycle Division.

Completes all supporting information and documentation required for individual and departmental reporting.

Designs and produces reports and individual quality scorecards as required.

Provides input to Revenue Cycle leadership for department policies and procedures.

Tracks individual, department, and division-wide quality audit performance in defined quality tools.

Consistently communicates quality audit results to appropriate Manager, Operations Coordinator, Team Lead and/or Staff. Ensure compliance with quality sign off and documentation procedures for Quality Auditors, Department Manager, Operations Coordinator, and Team Lead.

Assesses and communicates staff development needs to Director, Revenue Cycle Training and training team.

Collaborates with the Epic application teams for project planning and execution, curriculum development, and project execution.

AA/EOE



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