RN Revenue Integrity Nurse Auditor - Revenue Integrity

UNC Health • Chapel Hill, NC

21h • Remote

About The Position

The HIM-Revenue Integrity department is seeking a Revenue Integrity Nurse Auditor to facilitate system-wide charge code auditing. The position works with two other RN charge code auditors to provide coverage from 6 a.m. to 6 p.m., five days per week, and is fully remote. The role collaborates with Revenue Integrity leadership and hospital departments to ensure compliance with clinical documentation and revenue cycle billing practices.

Requirements

• Graduate of an accredited school of nursing.
• At least two years of previous nursing experience.
• Active North Carolina RN license.
• High-level interpersonal skills and organizational abilities.
• Ability to work independently or as part of a team and deliver timely results.
• Ability to handle difficult situations and work in a fast-paced environment.
• Ability to read, analyze, and interpret clinical information and technical procedures, and to document clinical information.
• Ability to communicate effectively and respond to questions from patients, physicians, family members, and other staff.
• Ability to apply fractions, percentages, ratios, and proportions to practical situations.
• Ability to define problems, collect data, establish facts, draw valid conclusions, and interpret a wide range of technical instructions.
• Strong written and verbal communication, analytical skills, and attention to detail.
• Knowledge of compliance with regulation changes, clinical process updates, coding guidelines, and reimbursement trends.

Nice To Haves

• Prior Revenue Integrity or Charge Code Auditing experience.
• Emergency department charging or coding experience.

Responsibilities

• Conduct audits of hospital charges and documentation using clinical expertise and billing regulations to ensure compliance with quality of care, medical necessity, and appropriate reimbursement.
• Develop a thorough understanding of application systems and their appropriate use in clinical documentation for charging, billing, order entry, and financial processes across UNC Health System.
• Audit charge accuracy in response to third-party audit requests and document findings in the internal audit system.
• Apply clinical practices to adhere to payer regulations and reimbursement policies.
• Identify and troubleshoot charge issues and opportunities for charge or process enhancements.
• Educate and train operational areas on clinical documentation and charge-related improvements.
• Work with Revenue Integrity leaders and Chargemaster to ensure charges are appropriately built and charged.
• Collaborate with hospital departments to perform requested charge audits and identify charge opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level