Revenue Cycle Compliance Auditor – Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

 

The Revenue Cycle Compliance Auditor is responsible for planning, organizing and conducting, operational process and compliance audits of the revenue cycle in accordance with the audit plan. The Revenue Cycle Compliance Auditor will evaluate risks both on the patient access and billing to strengthen operational controls for Optum360 end to end clients. The Revenue Cycle Compliance Auditor will stay abreast of regulatory changes, interact with various levels of leadership within Optum360 and provide high quality service and value-added solutions.

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

 

Primary Responsibilities:

• Evaluate revenue cycle processes and controls to mitigate compliance risks and strengthen operational processes
• Plan, organize and conduct revenue cycle and regulatory reviews as outlined in the audit plan
• Prepare clear, concise and objective audit reports of findings, observations, and corrective action for management
• Ensure the adequacy and follows up on completion of corrective action plans
• Perform risk assessments to identify and analyze risk areas for the purposes of drafting, communicating and executing action plans
• Identify business risks and efficiency improvements
• Maintain and expands knowledge of emerging healthcare, compliance and auditing trends, concepts and techniques
• Develop and maintain strong working relationships with compliance leadership, legal colleagues, and subject matter experts
• Partner closely with business leaders and functional owners within the revenue cycle to monitor implementation of corrective action plans and provide consultation and recommendations as needed

 

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 10+ years of equivalent experience 
• 5+ years of Healthcare Revenue Cycle audit experience
• Working experience with Medicare regulations
• Intermediate level of proficiency with MS Word, Excel and PowerPoint

 

Preferred Qualifications:

• CHIAP, CIA, CHC or related credentials
• Experience performing data analysis
• Experience conducting healthcare revenue cycle risk assessments
• Experience working in hospital billing and medical record systems
• Proven solid problem-solving skills
• Proven excellent organizational and time management skills
• Proven superior oral, written communication and interpersonal skills

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

 

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

 

 

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.