Billing Specialist (RN) - Perio-operative Services
About The Position
Performs detailed audit of billed Perio-operative Services charges. Utilization of audit tools to ensure billing practices are consistent with clinical documentation. This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity.
Requirements
- LIC-Registered Nurse - Licensure-Others
- Relevant Work Experience
- 5 years
- Bachelor's
Responsibilities
- Performs detailed audit of billed Peri-operative Services.
- Review documentation in support of OR charges billed to the patient for accuracy and reasonableness.
- Coordinate interaction with OR clinical staff and various hospital department representatives to gather supporting information, documentation or clarification of any audit discrepancies
- Work as a team member with the OR staff and managers; materials management staff and Hospital Auditor to ensure proper documentation.
- Serve as a nursing resource for staff when issues/needs are of a clinical nature.
- Review medical records and interpret clinical information as needed to resolve issues identified by other staff members.
- Communicate effectively with other staff members or patients/guarantor to insure their understanding of clinical information.
- Supervises day to day performance of staff through ongoing assessment and coaching to achieve goals.
- Contributes to formal evaluation of staff.
- Assess and assists OR Billers to utilize critical thinking skills in order to identify any process changes needed to help increase accuracy and efficiency of OR billing.
- Review and approved OR Billers timesheets.
- Assist with identifying and addressing first level of performance issues.
Benefits
- health
- disability
- retirement
- wellness offerings
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
