Nurse Auditor

Ensemble Health Partners•Cincinnati, OH

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.

Requirements

Clinical knowledge to educate stakeholders on standards for documentation and charge capture practices.
Ability to identify opportunities for process improvements to assist clients with preventing revenue loss.
Meet and/or exceeds department productivity and quality standards.
Maintain audit logs.
Strive for customer service excellence while meeting the mission and goals of the organization.
Meet all regulatory compliance requirements.

Nice To Haves

Experience with Opera reports.
Experience with prebill and post bill audits.

Responsibilities

Performs charge audits and other assessments as assigned by management.
Responsible for timely resolution of all incorrect and/or missing charges on prebill and post bill Opera reports to prevent revenue loss and ensure compliance requirements are met.
Responsible for monitoring & resolving revenue loss reports, assigned work queues, and identifying opportunities for any additional documentation needs to support captured charges.
Fulfill audits requests by reviewing clinical documentation, identifying trends for missing and/or incorrect charges.
Applies clinical knowledge to educate stakeholders on standards for documentation and charge capture practices and to look for opportunities of improvement based on audit outcomes.
Identifies opportunities for process improvements to assist clients with preventing revenue loss.
Meet and/or exceeds department productivity and quality standards.
Responsible for maintaining audit logs and strive for customer service excellence while meeting the mission and goals of the organization, as well as meeting all regulatory compliance requirements.