Job Description:
• Performs proactive/prospective audits, retrospective/defense audits, and targeted and ad hoc charge capture audits
• Works with clinical personnel during audits
• Schedules audits, prepares action plans, and reports during the Chart Audit Committee
• Provides expert consultation to clinical departments regarding charges and medical documentation for HIM and billing purposes
• Assists with special projects and conducts internal training on revenue cycle competency and compliance
• Performs defensive and charge capture auditing functions
• Handles all aspects of the Chart Audit Committee
• Communicates audit results with applicable stakeholders
• Resolves assigned pre-bill and post-bill edit questions
• Maintains compliance with applicable laws, accreditation standards, and regulatory requirements
Requirements:
• Graduate of an accredited school of nursing
• Current registered nurse (RN) license in state of practice
• 5 years of related healthcare experience, OR 3 years of related healthcare experience with a master's degree
• Proficiency in using computers, software, and web-based applications
• Effective verbal and written communication skills and ability to present information clearly and professionally
• Strong conflict resolution skills
• Strong presentation skills
• Ability to work a flexible work schedule, including 24/7, weekends, holidays, and on-call availability
• Ability to travel throughout and between facilities
Benefits: