Nurse Audit Manager

Ensemble Health Partners•Atlanta, GA

6d•Hybrid

About The Position

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Nurse Audit Manager is responsible for the daily operation and the performance & effectiveness of Nurse Audit staff. The Manager will be responsible for implementing short- and long-term plans and objectives to prevent revenue loss and to engage in continuous quality improvement of charge capture practices and to ensure compliance. The manager is responsible for the oversight and execution of the NA audit workplan for all Ensemble clients and for creating and monitoring team productivity and quality standards. Manager will develop and maintain department policies and procedures and oversee the SMART program. The Manager will empower staff to develop methods of process improvement, including planning, setting priorities, conducting systematic performance assessments, implementing improvements based on those assessments and maintaining achieved improvements. Manager coordinates team work and travel schedules to ensure deadlines are met.

Requirements

Four year/Bachelors Degree in Business or relevant discipline.
RN, LVN, LPN, or equivalent Licensure/Certification Required.
Five or more years of experience in revenue integrity and/or revenue cycle operations.
Management experience in healthcare industry.
Working knowledge of CPT/HCPCS/Revenue codes, charge capture and billing best practices, and government and non-government reimbursement guidelines.
Excellent project management, analytical, interpersonal, oral & written communication skills.
Strong leadership, mentoring, and training skills.
Strong organization skills.
Highly motivated and self-starter.

Nice To Haves

RN, Business or relevant discipline Preferred Education.
CCDI, RHIA, RHIT, COC, PMP, CPMA or equivalent Licensure/Certification Preferred.
Management experience preferred.

Responsibilities

Manages all charge audits and assessment activities performed by staff for Ensemble clients.
Staff responsibilities include conducting charge audits and completing assessments for potential clients, reviewing I&I WQs, traveling to client sites to provide education and training related to findings, and identify opportunities to prevent revenue loss, and educate clients on sound charge capture practices.
Travel to clients’ sites as needed to help clients meet their financial goals.
Responsible for interviewing, hiring, staffing allocation, performance management, and development of staff.
Counsels and disciplines staff when necessary in accordance with department and/or organizational policies.
Develops, updates and implements job standards, job duties, departmental policies and performance appraisals for all areas of responsibility.
Prepares monthly reports as requested.
Establishes team/departmental goals with the staff to optimize performance and meet goals while improving operations to increase customer satisfaction and meet financial goals of the organization.
Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals.
Works with internal and external customers to make key decisions, impacting either the organization as a whole or individual clients.
Assists in strategic planning and performs ongoing process improvement evaluation.
Reviews, updates and implements policies and procedures to support the vision and goals.
Performs other duties as assigned