Sr Charge Auditor purchaser Endoscopy

Nebraska Medicine•Omaha, NE

5d•Onsite

About The Position

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. This position organizes, negotiates, processes, and expedites the cost-effective and timely acquisition, receiving, and distribution of supplies, equipment, and services, while achieving contract compliance and customer satisfaction. It also maximizes organizational, financial, and clinical compliance by providing essential medical expertise through audits of documentation. The role involves reviewing and validating clinical data and documentation to support revenue integrity, ensuring accurate charges and compliance with federal, state, and private regulations, coding guidelines, and all organizational policies. The Sr Charge Auditor purchaser Endoscopy performs independently and collaboratively with team members to meet customer needs, demonstrating problem-solving abilities and promoting continuous quality improvement to ensure the highest quality customer service by recommending appropriate changes to processes.

Requirements

Minimum of three years procedural area clinical experience with demonstrated competence required.
Associate degree or equivalent work experience required.
Proficiency in Microsoft Word and Excel required.
Ability to interpret financial/statistical data and make sound recommendations based on that information required.
Ability to anticipate customer requirements and meet those needs in an appropriate and timely manner is required.
Ability to act independently with minimal supervision is required.
Strong problem resolution skills required.
Strong organizational skills required
Demonstrated effective communication skills, both written and verbal required.
Ability to prioritize organization requirements and track progress of multiple initiatives required.

Nice To Haves

Experience in negotiation and working with vendors is preferred.
Bachelor's degree preferred.
Prior medical auditing preferred.
Knowledge of Medicare billing regulations preferred.
Knowledge of Medicare Severity Diagnose Related Groups (MS-DRGs), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) codes preferred.

Responsibilities

Organize, negotiate, process, and expedite the cost effective and timely acquisition, receiving and distribution of supplies, equipment and services, while achieving contract compliance and customer satisfaction.
Maximize organizational, financial, and clinical compliance by providing essential medical expertise through audits of documentation.
Review and validate clinical data and documentation to support revenue integrity ensuring accurate charges and compliance with federal, state and private regulations and coding guidelines, and all organizational policies.
Perform independently and collaboratively with team members to meet customer needs.
Demonstrate problem-solving abilities and promote continuous quality improvement to ensure highest quality customer service by recommending appropriate changes to processes.