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Reimbursement Quality Audit & Documentation Specialist

Apply now Job no: 609388
Work type: Permanent
Location: Centennial
Categories: North America, Individual Contributor, Reimbursement

Job Title:       Reimbursement Quality Audit & Documentation Specialist

Change people’s lives and love what you do! Cochlear develops world-leading medical devices that help people hear. As the top 100 medical device company and market-leader in implantable hearing devices, more people choose a Cochlear-branded cochlear implant system than any other. Our employees tell us that the number one reason they enjoy working for Cochlear is the opportunity to make a difference to people’s lives.

About the role

In order to help Cochlear improve operational efficiency, we are recruiting for a Quality Audit & Documentation Specialist in our Americas head office based in Centennial, CO.

To be successful in this role, you’ll be heavily involved with the daily operations of the quality program that will deliver meaningful metrics and dashboards to the Reimbursement leadership team.  You’ll work closely & collaboratively with the Quality Assurance Supervisor and the Billing & Collections team to help drive improved processes, visibility and performance. This tactical role is responsible for day to day auditing within the quality assurance program, focusing on monitoring and reporting data to improve reimbursement collection efforts.

In this role you'll have the opportunity to make a significant contribution to Cochlear's successful history of innovation by performing audits to ensure a high level of quality exists within the day to day operations. You'll know you've been successful in this role when your audit findings are used to detect failures in processes and promotes process improvement and ultimately promote faster claim resolution and provide a better customer experience.

Key Responsibilities

  • Complete audit evaluation forms and Quality Assurance processes
  • Monitor claim and invoice activities
  • Audit inbound and outbound communication
  • Provide audit findings data to Supervisor for analysis
  • Create & update SOP and work instructions

Key Requirements

To add value to Cochlear in this role you'll be able to demonstrate the following skills and experience in your application and at interview:

Minimum:

  • 3+ years of actively using DME Medical Billing Terminology including HCPCs codes 
  • 2+ years of experience in healthcare reimbursement with the ability to audit and oversee a Quality Assurance program
  • Self-motivated team player with a high attention to detail
  • Strong critical and analytical thinking skills
  • Responsible for checking the DME orders for completeness and compliance with state, federal and local laws
  • Experience with Medicaid and Medicare reimbursement processes and procedures
  • Strong verbal and written communication skills
  • Able to work cross-functionally with internal business partners in a professional and diplomatic manner
  • Advanced working knowledge of Microsoft Office
  • Exhibit organizational and analytical skills in order to process a high volume of work and multi-task in a fast-paced, dynamic environment
  • Excellent customer service skills with the ability to work independently

Apply now by completing your application form online. Cochlear is an equal employment opportunity organization. Applicants must meet the job specific application criteria to be considered.

Working at Cochlear Americas:

  • Work with dedicated and passionate colleagues to help more people hear
  • Highly collaborative global team environment
  • Opportunities for growth and development
  • Competitive salary and bonus
  • Comprehensive benefits including medical, dental, vision, life insurance, retirement plans, paid holidays/vacation, tuition reimbursement, and extended Paternity Leave.
  • State of the art facility with great work/life balance conveniences (onsite gym, wellness programs, dry cleaning services, company-sponsored monthly food truck and more!)

Cochlear Globally:

Cochlear pioneered and is the global leader in the research and development, manufacture and marketing of implantable hearing solutions. Cochlear’s global headquarters is located in Sydney, Australia where we design and manufacture the leading cochlear implant devices in the world. A success story in the commercialization of R&D, Cochlear has more than 60% share of the global market, employs more than 3,500 people worldwide, operates directly in over 20 countries and sells in over 100 countries. Over 550,000 people across more than 100 countries now experience hearing as a recipient of a Cochlear hearing solution.

As a world-leader in innovative medical devices, Cochlear encourages continuous learning for employees. Visit www.cochlear.com/careers for more information.

Cochlear Americas is an Equal Opportunity, Affirmative Action Employer and provides equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, marital status, veteran status, or any other characteristic protected by federal, state or local law In addition, Cochlear will provide reasonable accommodations for qualified individuals with disabilities.  If you require accommodation with completing the online application, please contact us via web or phone at 303-264-2349.

Relocation: Relocation assistance for this position is not available        

Travel: N/A

Schedule: 8:00am-5:00pm, Monday through Friday. In order to best serve our customers, occasional overtime may be required. After six months of employment, employee may elect to work from home one day per week.

Advertised: Mountain Standard Time
Applications close:

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