Be a part of a world-class academic healthcare system, UChicago Medicine, as an
Internal Nurse Auditor for the Revenue Cycle Administration Department.
The Internal Nurse Auditor, under general direction, reviews patient charge
statements and identifies services performed but not properly captured on the
patient's bill as well as defends properly documented and delivered services
which are being challenged by their party payors or their agents. In the
position this person will contact departments and outside parties to gather
documentation related to patient charges and services.
Essential Functions
Reviews patient charge statements and identifies services performed but not
properly captured on the patient's bill as well as defends properly
documented and delivered services which are being challenged by their party
payors or their agents.
Performs data analysis and verifies information to ensure records are
accurate, and provides reports on findings to management.
Provides recommendations for correcting unsatisfactory conditions, improving
procedures, and reducing costs.
Utilizes computer systems to evaluate data, and substantiates the validity of
reported information.
Researches and clarifies issues related to patient charge statement and
contacts departments/third party payors to resolve issues.
Assist management in establishing and implementing policies and procedures
for internal controls to ensure compliance with regulations.
Performs other duties and projects as assigned.
Required Qualifications
B.S.N. degree required
RN license required.
1-2 years of auditing medical records/medical claims experience.
Excellent communication and writing skills, ability to work effectively on
multiple projects simultaneously, problem solving ability, and team player.
Excellent mathematical skills, proficient in Microsoft Office applications,
and applicable computer systems. Ability to serve as a resource for staff
and/or temporary workers in the department.
License/Certifications
RN license State of Illinois
Position Details
Job Type/FTE: Full Time (1.0 FTE)
Shift: Days, Monday-Friday
Unit/Department: Revenue Cycle
Work Location: Flexible Remote (Will need to commit to being onsite when
needed)
CBA Code: Non-union
We’ve been at the forefront of medicine since 1899. We provide superior
healthcare with compassion, always mindful that each patient is a person, an
individual. To accomplish this, we need employees with passion, talent and
commitment… with patients and with each other. We’re in this together: working
to advance medical innovation, serve the health needs of the community, and move
our collective knowledge forward. If you’d like to add enriching human life to
your profile, UChicago Medicine is for you. Here at the forefront, we’re doing
work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of
excellence at: UChicago Medicine Career Opportunities
[https://www.uchicagomedicine.org/about-us/careers]
UChicago Medicine is an equal opportunity employer. We evaluate qualified
applicants without regard to race, color, ethnicity, ancestry, sex, sexual
orientation, gender identity, marital status, civil union status, parental
status, religion, national origin, age, disability, veteran status and other
legally protected characteristics.
As a condition of employment, all employees are required to complete a
pre-employment physical, background check, drug screening, and comply with the
flu vaccination requirements prior to hire. Medical and religious exemptions
will be considered for flu vaccination consistent with applicable law.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits.
The pay range provided reflects the anticipated wage or salary reasonably
expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of
current market data, reviewed on an annual basis. Compensation offered at the
time of hire will vary based on candidate qualifications and experience and
organizational considerations, such as internal equity. Pay ranges for employees
subject to Collective Bargaining Agreements are negotiated by the medical center
and their respective union.
Review the full complement of benefit options for eligible roles at Benefits -
UChicago Medicine [https://www.uchicagomedicine.org/about-us/careers/benefits].