Manager, Audits and Appeals
Iowa City, IA · On-site +1
$98K - $131K/yr
Experience with Epic Patient Accounting System * Experience with complex financial analysis and ... remote location.
Iowa City, IA · On-site +1
$98K - $131K/yr
Experience with Epic Patient Accounting System * Experience with complex financial analysis and ... remote location.
Iowa City, IA · On-site +1
$98K - $131K/yr
Experience with Epic Patient Accounting System * Experience with complex financial analysis and ... remote location.
Iowa City, IA · On-site +1
$101K - $133K/yr
... high-cost outlier forensic audits, as well as oversight of diversified audit activity for the ... Experience with Epic Patient Accounting System * Experience with complex financial analysis and ...
Iowa City, IA · On-site +1
$101K - $133K/yr
... high-cost outlier forensic audits, as well as oversight of diversified audit activity for the ... Experience with Epic Patient Accounting System * Experience with complex financial analysis and ...
$57.6K is the 25th percentile. Wages below this are outliers.
$53.5K - $61.7K
51% of jobs
$61.7K - $69.9K
11% of jobs
$76K is the 75th percentile. Wages above this are outliers.
$69.9K - $78.1K
19% of jobs
$78.1K - $86.3K
5% of jobs
$86.3K - $94.5K
4% of jobs
$94.5K - $102.7K
0% of jobs
$102.7K - $110.9K
1% of jobs
$110.9K - $119.1K
2% of jobs
$119.1K - $127.3K
3% of jobs
$127.3K - $135.5K
2% of jobs
$135.5K - $143.7K
2% of jobs
$53.5K
$80K
$143.7K
To excel in Remote Forensic Accounting, you need a strong background in accounting, auditing, and investigative techniques, typically supported by a CPA, CFE, or similar credentials. Familiarity with forensic accounting software, data analytics tools, and secure collaboration systems is essential. Excellent analytical thinking, attention to detail, and strong written communication skills set top performers apart. These abilities enable accurate financial analysis, clear reporting, and effective collaboration when investigating financial discrepancies remotely.
A Remote Forensic Accounting job involves investigating financial records to detect fraud, discrepancies, or legal violations while working from a remote location. Forensic accountants analyze financial data, prepare reports, and may assist in legal proceedings or dispute resolutions. They use specialized software and techniques to track suspicious transactions and ensure compliance with financial regulations. Remote forensic accountants collaborate with legal teams, businesses, or government agencies, often conducting audits and financial investigations virtually.
As a Remote Forensic Accountant, your daily responsibilities often include analyzing financial records for irregularities, preparing detailed reports, and collaborating with legal teams or clients via virtual meetings. You'll use a variety of digital tools to examine large data sets and may need to testify or provide expert opinions if an investigation leads to litigation. Working remotely requires strong organizational skills and proactive communication with colleagues and stakeholders. You may also spend time staying updated on emerging fraud schemes and regulatory changes to remain effective in your role.

$98K - $131K/yr
Full-time
Posted 15 days ago
6.9
Based on 85 frontline employees who took The Breakroom Quiz
455th of 612 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.
Get the full story on Breakroom
Sourced by ZipRecruiter
Colleges, universities, and professional schools
10,000+ Employees
Iowa City, IA, US
1847