Analyst Government Audit & Denials
Company: Norman Regional Health System
Location: Edmond
Posted on: July 3, 2025
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Job Description:
Responsibilities: HireNRHS Responsible for reviewing government
audit requests, denial notification and charge audits are received
and properly routed for efficient response, compliance, appeal
completion, and reimbursement/revenue integrity. Responsible for
coordinating and reporting of RAC, MAC, Targeted Probe and Educate,
ZPIC, OIG and other Government Audit activity . Functions as the
primary Government Audit liaison for NRHS departments: Patient
Financial Services, Health Information Management, Utilization
Review, Medical Staff, Compliance Committee, Internal Audit, and
other clinical departments, as well as the Oklahoma RAC contractor,
CMS, Oklahoma's Medicare intermediary, and managed care payers.
Completes and Compiles reporting for to Finance Committee,
Compliance Committee, Billing Compliance Committee, and Denials
Committee, Executive Team and Board and others as needed.
Qualifications: Education High School diploma or equivalent.
Completion of Medical Terminology Course. Prefer some post high
school education in related field such as Accounting and/or
Business Communications. Required: Excel/MS Word skills in word
processing and spreadsheets creation and maintenance. Required:
Completion of Medical Terminology. Experience Three years of
experience in Medicare, Medicaid, third-party billing, and
compliance and reimbursement regulations required. A minimum of
seven years’ experience in medical auditing, hospital Patient
Accounting office experience Minimum of 3 years’ experience in
hospital Medicare/Medicaid/third party billing and collections.
Minimum of 3 years’ experience with charge auditing, CPT/HCPC and
Revenue coding review. Experience in reporting in Excel, Word and
data entry. Experience in navigating Electronic Health Records.
Licensure/Certification Advanced coding certification (Certified
Coding Specialists (CCS - Issued by American Health Information
Mgmt Assoc - AHIMA, CPC, CPC-H, RHIT, or RHIA) preferred.
Compensation $19.00-$30.71/hr based on previous work experience
Benefits include medical, dental, vision, short-term disability,
long-term disability, life insurance, paid time off (PTO), paid
holidays, tuition reimbursement, scholarship opportunities,
retirement plans, free parking, and opportunities for
advancement
Keywords: Norman Regional Health System, Edmond , Analyst Government Audit & Denials, Administration, Clerical , Edmond, Oklahoma
