Charge Audit Nurse Specialist

Saint Luke's Health System • Kansas City, MO

1d • Remote

About The Position

Saint Luke's is hiring an experienced Registered Nurse to support charging accuracy across clinical departments. The specialist performs charge capture for assigned departments and reviews patient medical records to validate documentation supporting charges. The role shares charge trends with department managers and Charge Management to support staff education and maximal revenue capture for emergency departments, infusion clinics, and nursing units. It also collaborates with Charge Management, Patient Accounts, Health Information Management (HIM), Utilization Review (UR), and other departments to resolve claim edits and charge issues and improve processes. The specialist serves as a liaison and resource between clinical departments and Patient Accounts.

This is a full-time, 40-hour-per-week remote position for someone who lives in the Kansas City metro area. Initial training takes place onsite for several weeks, and the specialist must be able to attend meetings and additional training at the corporate office as needed after orientation. The schedule is 8:00 a.m. to 4:30 p.m., with no weekends or holidays.

Requirements

• Active Registered Nurse (RN) license.
• 3–5 years of applicable experience.
• Associate degree in Nursing.
• Must live in the Kansas City metro area.
• Must be able to attend onsite initial training for several weeks and come to the corporate office for meetings and additional training as needed.

Nice To Haves

• Epic experience preferred.

Responsibilities

• Complete charge capture for metro emergency departments, infusion clinics, and/or most bedded nursing units.
• Perform IR audits for metro facilities.
• Manage assigned Epic work queues for nurse auditors, resolve edits and issues, and complete accounts in a timely manner.
• Manage the third-party commercial audit process.
• Report charging trends, including documentation issues, to the Charge Management service line analyst and Charge Audit Manager.
• Participate in ad hoc meetings and projects for process improvement and issue resolution.
• Review patient medical records and validate documentation to support charges.
• Collaborate with Charge Management, Patient Accounts, HIM, UR, and other departments on claim-edit resolution, charge-issue resolution, and process improvement.
• Serve as a liaison and resource between clinical departments and Patient Accounts.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree