Nurse Auditor, Surgical Administration, FT, 07A-3:30P
About The Position
The Nurse Auditor is an expert clinician in the related specialty practice who combines clinical practice with education and leadership. The role oversees and performs concurrent and pre-bill audits, and assists with retrospective audits, comparing billed charges against medical records to identify missing revenue. The Nurse Auditor identifies opportunities to improve charging practices and determines root causes, then works with the leadership team to develop appropriate, standardized charging and documentation practices. The role also participates in the annual departmental charge master review and assists with training clinical staff on charge master changes.
Requirements
- Bachelor's degree.
- Registered Nurse license.
- Minimum of 3 years of clinical experience.
- Procedural coding, billing, and audit experience required.
- Demonstrated ability to work independently, with excellent organizational, analytical, and interpersonal skills.
- Excellent oral and written communication skills.
- Strong attention to detail.
Nice To Haves
- Extensive knowledge of laws, regulations, and rules applicable to billing government payers.
- National certification in a related department specialty.
Responsibilities
- Oversee and perform concurrent and pre-bill audits of billed charges against medical records.
- Assist with retrospective audits of billed charges against medical records.
- Identify missing revenue and opportunities related to proper charging.
- Determine root causes of charging issues.
- Work with the leadership team to develop appropriate, standardized charging and documentation practices.
- Participate in the annual departmental charge master review.
- Assist in training clinical staff on charge master changes.
Benefits
- Career growth and development opportunities, with clear pathways and ongoing support.
- Comprehensive health and wellness resources.
- A wellness program that can help employees eliminate their medical plan deductible.
- Tuition reimbursement.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
