Manager, Audits and Appeals
Iowa City, IA · On-site +1
$98K - $131K/yr
Collaborate with Patient Financial Services, HIM/Coding, Compliance, and clinical teams to resolve ... remote location.
Iowa City, IA · On-site +1
$98K - $131K/yr
Collaborate with Patient Financial Services, HIM/Coding, Compliance, and clinical teams to resolve ... remote location.
Iowa City, IA · On-site +1
$98K - $131K/yr
Collaborate with Patient Financial Services, HIM/Coding, Compliance, and clinical teams to resolve ... remote location.
Iowa City, IA · On-site +1
... coding related to clinical trials billing; advise UI Health Care coders on coding and claims ... Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work ...
Iowa City, IA · On-site +1
... coding related to clinical trials billing; advise UI Health Care coders on coding and claims ... Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work ...
Iowa City, IA · On-site +1
... coding related to clinical trials billing; advise UI Health Care coders on coding and claims ... Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work ...
Iowa City, IA · On-site +1
... coding related to clinical trials billing; advise UI Health Care coders on coding and claims ... Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work ...
Iowa City, IA · On-site +1
$101K - $133K/yr
Collaborate with Patient Financial Services, HIM/Coding, Compliance, and clinical teams to resolve ... Per policy, work arrangements will be reviewed annually, and must comply with the remote work ...
Iowa City, IA · On-site +1
$101K - $133K/yr
Collaborate with Patient Financial Services, HIM/Coding, Compliance, and clinical teams to resolve ... Per policy, work arrangements will be reviewed annually, and must comply with the remote work ...
... clinical workflows, and healthcare coding systems (ICD, CPT, LOINC, SNOMED, etc.) Demonstrated ... Remote work must be performed at a location within the state of Iowa and comply with the remote ...
... clinical workflows, and healthcare coding systems (ICD, CPT, LOINC, SNOMED, etc.) Demonstrated ... Remote work must be performed at a location within the state of Iowa and comply with the remote ...
... clinical workflows, and healthcare coding systems (ICD, CPT, LOINC, SNOMED, etc.) Demonstrated ... Remote work must be performed at a location within the state of Iowa and comply with the remote ...
... clinical workflows, and healthcare coding systems (ICD, CPT, LOINC, SNOMED, etc.) Demonstrated ... Remote work must be performed at a location within the state of Iowa and comply with the remote ...
Davenport, IA · Remote
$50K - $60K/yr
This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Davenport, IA · Remote
$50K - $60K/yr
This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Davenport, IA · Remote
$45K - $60K/yr
This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Davenport, IA · Remote
$45K - $60K/yr
This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Des Moines, IA · Remote
$46K - $62K/yr
This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Des Moines, IA · Remote
$46K - $62K/yr
This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Des Moines, IA · Remote
$50K - $60K/yr
This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Des Moines, IA · Remote
$50K - $60K/yr
This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Des Moines, IA · On-site +1
$80/hr
... l leadership and support: Rula's executive team includes a licensed provider engaged in business ... Our practices align with your professional Code of Ethics and all regulatory requirements.
Des Moines, IA · On-site +1
$80/hr
... l leadership and support: Rula's executive team includes a licensed provider engaged in business ... Our practices align with your professional Code of Ethics and all regulatory requirements.
... coding and fee schedules. Proactively manages access scorecards including user quality ... This is a remote role with minimal travel requirements A successful candidate would possess these ...
... coding and fee schedules. Proactively manages access scorecards including user quality ... This is a remote role with minimal travel requirements A successful candidate would possess these ...
... coding and fee schedules. Proactively manages access scorecards including user quality ... This is a remote role with minimal travel requirements A successful candidate would possess these ...
... coding and fee schedules. Proactively manages access scorecards including user quality ... This is a remote role with minimal travel requirements A successful candidate would possess these ...
Centralia, IA · On-site +1
$74K - $92K/yr
Captures, analyzes & validates data to maximize the information provided for clinical quality &/or ... CPT codes, billing requirement, reimbursement & compliance issues. Supports the operation ...
Centralia, IA · On-site +1
$74K - $92K/yr
Captures, analyzes & validates data to maximize the information provided for clinical quality &/or ... CPT codes, billing requirement, reimbursement & compliance issues. Supports the operation ...
Grimes, IA · On-site +1
Location: Remote/work from home with strong preference for candidates residing within the UPH ... We partner across clinical, operational, and financial areas to drive meaningful, measurable ...
Grimes, IA · On-site +1
Location: Remote/work from home with strong preference for candidates residing within the UPH ... We partner across clinical, operational, and financial areas to drive meaningful, measurable ...
Davenport, IA · On-site +1
$17.25 - $22.25/hr
POSITION PURPOSE Work 100% Onsite in Davenport, Iowa for Training Only, and then Remote (Pay Range ... clinical, financial, and insurance information. Performs all routine follow-up functions which ...
Davenport, IA · On-site +1
$17.25 - $22.25/hr
POSITION PURPOSE Work 100% Onsite in Davenport, Iowa for Training Only, and then Remote (Pay Range ... clinical, financial, and insurance information. Performs all routine follow-up functions which ...
| Aspect | Remote Clinical Coder | Remote Medical Biller |
|---|---|---|
| Certifications | CCS, CPC, or RHIT certifications often preferred | Certified Professional Biller (CPB) or similar certifications |
| Work Environment | Healthcare facilities, insurance companies, remote | Medical offices, billing companies, remote |
| Job Focus | Assigning codes to clinical documentation for billing and records | Processing insurance claims and billing patients |
| Industry Usage | Healthcare providers, hospitals, insurance companies |
Remote Clinical Coders and Remote Medical Billers both work in healthcare but focus on different aspects. Clinical coders assign codes based on medical records, while billers handle insurance claims and payments. Understanding these differences helps job seekers find the right role aligned with their skills and certifications.

$98K - $131K/yr
Full-time
Posted 3 days ago
6.8
Based on 84 frontline employees who took The Breakroom Quiz
409th of 537 rated colleges and universities
Financial Oversight and Budgeting Responsibilities:
Lead and oversee all audit and appeal operations, including external payer audits, internal audits, forensic reviews, and release of information.
Develop and execute denial and appeal strategies to optimize reimbursement and minimize revenue loss.
Monitor, trend, and report audit and denial KPIs such as overturn rates, audit accuracy, financial impact, and response timeliness.
Translate audit data into actionable insights and present findings to leadership and stakeholders.
Collaborate with Patient Financial Services, HIM/Coding, Compliance, and clinical teams to resolve audit issues and prevent recurrence.
Ensure compliance with federal regulations, payer requirements, and internal policies Establish and refine audit workflows, policies, and controls to strengthen audit readiness and response.
Lead continuous improvement initiatives focused on denial prevention and revenue integrity optimization.
Manage, mentor, and develop audit and appeal staff, including performance management and training.
Serve as subject matter expert on audit and appeal processes and regulatory changes.
Serve as the primary point of contact for audit tracking software and associated tasks.
Required Qualifications:
Bachelor's degree in business, finance, or clinical field, OR an equivalent combination of education and experience.
5 years of experience with professional and facility revenue cycle operations.
2 years of supervisory experience
2 years of experience with clinical and administrative/technical denials and appeals
Experience with Epic Patient Accounting System
Experience with complex financial analysis and presentation.
Reasonable knowledge of claims payment methodologies for both physician and hospital reimbursement (ex. fee schedule, APR-DRG, EAPG, APC, per diems, etc.)
Understanding of CPT-4 and ICD-10 coding.
Ability to manage large complex projects simultaneously.
Excellent written and verbal communication skills.
Demonstrated proficiency in Microsoft Office applications.
Advanced experience using Microsoft Excel.
Demonstrated experience working effectively in a welcoming and respectful workplace environment.
Desired qualifications:
Masters degree preferred (clinical or administration)
Experience with clinical and administrative/technical denials and appeals specific to audits
Experience with medical coding and/or CPC Certification (or similar).
Nursing or clinical background.
Familiarity or experience with Epic clinical and/or administrative application build
Application Process: To be considered, applicants must upload a cover letter and resume (under the submission of relevant materials) that clearly address how they meet the listed required and desired qualifications of this position. Job openings are posted for a minimum of 7 calendar days. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification.
Up to 5 professional references will be requested at a later step in the recruitment process. For questions, contact Sharon Walther at sharon-walther@uiowa.edu.
This position is not eligible for University sponsorship for employment authorization now or in the future.
This position is eligible for hybrid work within Iowa and will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location.
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Colleges, universities, and professional schools
10,000+ Employees
Iowa City, IA, US
1847