Internal Nurse Auditor, Full time - Days
About The Position
UChicago Medicine is hiring an Internal Nurse Auditor for the Revenue Cycle Administration Department. Under general direction, the auditor reviews patient charge statements to identify services performed but not properly captured on patient bills and defends properly documented and delivered services challenged by third-party payors or their agents. The role involves contacting departments and outside parties to gather documentation related to patient charges and services. This full-time position is in the Revenue Cycle unit, works a Monday–Friday day schedule, and is designated Flexible Remote, with an onsite commitment when needed. The position requires a Bachelor of Science in Nursing and an Illinois RN license, as well as 1–2 years of medical-record or medical-claim auditing experience. Compensation and benefit information is available through UChicago Medicine; no specific pay range or individual benefits are listed in the posting.
Requirements
- Bachelor of Science in Nursing (B.S.N.) degree.
- Registered Nurse (RN) license in the State of Illinois.
- 1–2 years of experience auditing medical records or medical claims.
- Excellent communication and writing skills.
- Ability to work effectively on multiple projects simultaneously.
- Problem-solving ability and ability to work as a team player.
- Excellent mathematical skills.
- Proficiency with Microsoft Office applications and applicable computer systems.
- Ability to serve as a resource for department staff and/or temporary workers.
Responsibilities
- Review patient charge statements, identify services performed but not properly captured on patient bills, and defend properly documented and delivered services challenged by third-party payors or their agents.
- Perform data analysis, verify information for accuracy, and report findings to management.
- Recommend corrections to unsatisfactory conditions, procedural improvements, and cost reductions.
- Use computer systems to evaluate data and substantiate the validity of reported information.
- Research and clarify patient charge statement issues and contact departments or third-party payors to resolve them.
- Assist management in establishing and implementing policies and procedures for internal controls to ensure regulatory compliance.
- Perform other duties and projects as assigned.
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What This Job Offers
Job Type
Full-time
