Internet Explorer (IE) users: To avoid application errors, please install IE8 (not in compatibility mode) or a newer version.
There's a new era of wellness ahead, and we no longer think about treating our bodies only when we're sick but nurturing our bodies when we are well, so we can stay in a perpetual state of good health. Grand View Health is leading the way to this new era with investments in technology, facilities, partnerships and, most importantly, compassionate and exceptional talent. Located in Upper Bucks County, Pennsylvania, Grand View Health is a well-established, independent hospital offering a full range of healthcare services. Our colleagues enjoy the best of both worlds by working for a high-quality, low-cost healthcare provider in a collaborative, community environment. Help us build this new era of wellness.
Under the general direction of the Manager of Health Information Management, the Audit and Appeals Coordinator coordinates Recovery Audit Contracting activities to ensure that deadlines are adhered to. Responsible for hospital compliance with all federal, state and regulatory agencies to manage payer audits and appeals. Assumes the role of system administrator for the Audit and Appeals software product.
These duties will require the understanding of many complex and varying guidelines, systems, regulations and tools. The Audits and Appeals Coordinator will use critical thinking skills to manage an ever-evolving process that includes financial, clinical and legal components. The Audit and Appeals Coordinator will proactively work with GVH staff and physicians to put processes in place and to correct identified deficiencies that are impacted by retrospective denials.
EDUCATION AND EXPERIENCE:
SKILLS AND ABILITIES:
LICENSES AND CERTIFICATIONS: