Supervisor, Revenue Cycle Audits & Clinical Denials

University of Miami

Medley, FL, United States
External audit review
Clinical denial analysis
Payer guideline expertise
The Supervisor Revenue Cycle Audits and Clinical Denials leads, trains, and monitors the team that conducts reviews of External Audits and denials related to billing, coding, and medical necessity from governmental and commercial payers

Job Summary

  • The Supervisor Revenue Cycle Audits and Clinical Denials leads, trains, and monitors the team that conducts reviews of External Audits and denials related to billing, coding, and medical necessity from governmental and commercial payers.
  • The Supervisor Revenue Cycle Audits/ CDU contributes to the success of the Revenue Cycle and Compliance program by serving as an expert on coding, billing, federal and commercial guidelines.
  • The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

Matching Summary

The Supervisor Revenue Cycle Audits and Clinical Denials leads, trains, and monitors the team that conducts reviews of External Audits and denials related to billing, coding, and medical necessity from governmental and commercial payers.

Skills & Requirements

Must-have

  • External audit review
  • Clinical denial analysis
  • Payer guideline expertise
  • Coding and billing compliance
  • Third-party payer audits

Nice-to-have

  • Team leadership and training
  • Data analysis and reporting
  • Interpersonal relationship skills
  • Effective communication skills

Key Requirements

  • Bachelor's Degree or equivalence
  • Medical Coding Certification
  • Minimum 5 years relevant experience
  • Strong clinical and medical terminology knowledge

Work Rights

Not specified

Tailored Resume

Cover Letter