Nurse Audit Manager

Ensemble Health Partners•Atlanta, GA

4d•Hybrid

About The Position

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Nurse Audit Manager is responsible for the daily operation and performance of Nurse Audit staff, implementing plans to prevent revenue loss, and ensuring compliance in charge capture practices. This role involves overseeing the audit workplan, setting productivity and quality standards, developing policies, and managing the SMART program. The manager will empower staff in process improvement, coordinate team activities, and ensure deadlines are met.

Requirements

Four year/Bachelors Degree in Business or relevant discipline.
RN, LVN, LPN, or equivalent Licensure/Certification.
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 (Preferred Licensing/Certification).

Responsibilities

Manages all charge audits and assessment activities performed by staff for Ensemble clients.
Conducts charge audits and completes assessments for potential clients.
Reviews I&I WQs.
Travels to client sites to provide education and training related to findings.
Identifies opportunities to prevent revenue loss and educates clients on sound charge capture practices.
Travels 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, and uses 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.