Manager, Audits and Appeals
Iowa City, IA · On-site +1
$98K - $131K/yr
Experience with medical coding and/or CPC Certification (or similar). * Nursing or clinical ... remote location.
Iowa City, IA · On-site +1
$98K - $131K/yr
Experience with medical coding and/or CPC Certification (or similar). * Nursing or clinical ... remote location.
Iowa City, IA · On-site +1
$98K - $131K/yr
Experience with medical coding and/or CPC Certification (or similar). * Nursing or clinical ... remote location.
Iowa City, IA · On-site +1
$101K - $133K/yr
Experience with medical coding and/or CPC Certification (or similar). * Nursing or clinical ... Per policy, work arrangements will be reviewed annually, and must comply with the remote work ...
Iowa City, IA · On-site +1
$101K - $133K/yr
Experience with medical coding and/or CPC Certification (or similar). * Nursing or clinical ... Per policy, work arrangements will be reviewed annually, and must comply with the remote work ...
$13.18 - $16.84
0% of jobs
$16.84 - $20.49
0% of jobs
$20.49 - $24.15
16% of jobs
$24.97 is the 25th percentile. Wages below this are outliers.
$24.15 - $27.81
40% of jobs
$27.81 - $31.47
5% of jobs
$31.47 - $35.13
9% of jobs
$37.18 is the 75th percentile. Wages above this are outliers.
$35.13 - $38.78
9% of jobs
$38.78 - $42.44
10% of jobs
$42.44 - $46.10
6% of jobs
$46.10 - $49.76
3% of jobs
$49.76 - $53.42
2% of jobs
$13
$32
$53
| Aspect | Remote Rn Coding | Remote Medical Coder |
|---|---|---|
| Credentials | RN license, coding certifications (e.g., CPC, CCS) | Certification (CPC, CCS), no RN license needed |
| Work Environment | Healthcare facilities, insurance companies, remote clinics | Insurance companies, billing companies, healthcare organizations |
| Industry Usage | Hospitals, clinics, outpatient facilities | Insurance, billing, coding services |
| Job Focus | Clinical documentation, patient records, coding from RN perspective | Medical coding from documentation, billing codes, insurance claims |
Remote Rn Coding involves licensed RNs with coding certifications working primarily on clinical documentation and patient records, often within healthcare settings. Remote Medical Coder roles focus on coding insurance claims and billing documentation, typically requiring coding certifications but not an RN license. Both roles are essential in healthcare revenue cycle management but differ in credentials, work environment, and job focus.
$98K - $131K/yr
Full-time
Posted 9 days ago
6.8
Based on 84 frontline employees who took The Breakroom Quiz
410th of 538 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