Quality Analyst I

Position Description:

Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW … changemaking for a healthier Wisconsin.

In the role of Quality Analyst I you will be working in Clinical Practice Services. You will be responsible for conducting complex and large-scale audits to ensure the highest quality in billing, collections and reimbursement activities utilizing the Epic PB system and any other systems utilized. Scope of audits may span entire department and may interface with other departments and will include reviewing, creating and maintaining policies, procedures, and practices regarding billing, collections and reimbursement. Also serves as resource to leadership for any payor related issues identified.

Responsibilities: 

• Conducts quality assurance audits, ensuring standardization and compliance with established policies and procedures and applicable regulations.
• Prepares and presents quality and productivity reports to leaders.
• Identifies, researches, and documents process improvement opportunities and coordinates improvement activities and provides best practice coaching to staff.
• Identifies and recommends workflows in need of standardization, convenes area experts, and coordinates improvement activities necessary to develop standards.
• Identifies and recommends areas for staff education and prepares educational training materials in coordination with training team.
• Responsible for creating, maintaining and communicating all department policy and procedures.
• Function as back-up for leadership for related audit issues and in meetings as needed.
• Serve as liaison to Clinical Department & CP leadership on all billing, collection and reimbursement issues.
• Assists in the validation of billing software and practices to ensure quality standards are met. Serve as liaison to Clinical Department & CP leadership on all billing, collection and reimbursement issues.
• Respond to inquiries from billing, scheduling, and/or registration staff, or departments on appropriate procedures related to the billing of medical services.

Knowledge – Skills – Abilities

Knowledge of technical, business, consultation, project management, and cultural awareness.

Customer focus, building trust, communication, critical thinking, and influencing skills.

Epic Professional Billing subject matter expert for billing, collections and reimbursement, and overall revenue cycle processes

Preferred Schedule:

Position Requirements:

Minimum Qualifications:

Appropriate experience may be substituted for education on an equivalent basis 

Minimum Required Education: Bachelor’s degree

Minimum Required Experience: 5 years

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Why MCW?

• Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
• 403B Retirement Package
• Competitive Vacation and Paid Holidays offered
• Tuition Reimbursement
• Paid Parental Leave
• Pet Insurance
• On campus Fitness Facility, offering onsite classes.
• Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

For a full list of positions see: www.mcw.edu/careers  

For a brief overview of our benefits see: https://www.mcw.edu/departments/human-resources/benefits

Eastern Wisconsin is a vibrant, diverse metropolitan area.  MCW is intent on attracting, developing, and retaining a diverse workforce and faculty body that reflects the community we serve. We value diversity of backgrounds, experience, thought, and perspectives to advance excellence in science and medicine.  MCW is a welcoming campus community with a strong culture of collaboration, partnership, and engagement with our surrounding community. For more information, please visit our institutional website at https://www.mcw.edu/departments/office-of-diversity-and-inclusion . 

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination

The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering a diverse community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual’s race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.

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