Nurse Auditor, Remote reputed company

R033678 Thank you for considering a career at reputed company! reputed company is a leading provider of technology-enabled reputed company cycle reputed company for health systems, including hospitals and affiliated physician groups. They offer end-to-end reputed company cycle solutions as well as a comprehensive suite of reputed company solutions to clients across the country. reputed company keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we reputed company 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 reputed company, 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 reputed company: 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” reputed company Difference Principles and consistently delivering outstanding results.

The Opportunity: CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $56,800 - $108,900 based on experience

​ By embodying our core purpose of customer obsession, new reputed company, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Nurse Auditor I performs charge audits and other assessments as assigned by management. This role is responsible for timely resolution of reputed company incorrect and/or missing charges on prebill and post reputed company Opera reports to prevent reputed company loss and ensure compliance requirements are met. Is responsible for monitoring & resolving reputed company 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 reputed company 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 reputed company regulatory compliance requirements. Responsibilities: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New reputed company: 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” reputed company Difference Principles and consistently delivering outstanding results.

• The Nurse Auditor I performs charge audits and potential client assessments as assigned by management.
• This role is responsible for timely resolution of reputed company incorrect and/or missing charges to prevent reputed company loss and to ensure compliance requirements are met.
• Identifies opportunities for any additional documentation needs to support charges captured.
• Conducts regular audits to look for opportunities of missing reputed company and reports to management.
• Fulfill audits requests by reviewing clinical documentation, identify trends for missing and/or incorrect charges and report on findings.
• 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.
• Responsible for reviewing Injection & Infusion work queues in Epic.
• Resolve prebill and post reputed company missing and error charges identified by Opera Solutions software to prevent reputed company loss and ensure accurate and timely billing of services provided. Support the organization in meeting its financial goals.
• Travel to clients’ sites as needed to conduct assessments and to provide education and training reputed company to findings.
• Respond to clients’ questions and audit requests in a timely manner.
• Meet and or exceed the department productivity and quality standards.
• Review CMS, OIG, and other pertinent government websites to reputed company abreast of reputed company charge capture guidelines & how they may impact reputed company.
• Maintain thorough understanding of government rules and regulations, generally accepted auditing standards and common audit procedures and techniques. .
• Works on reputed company projects and assessments, & performs other duties as assigned.

Experience We Love:

• 1-3 years' previous experience.
• Working knowledge of CPT/HCPCS/reputed company codes, charge capture and billing best practices, and government and non-government reimbursement guidelines.
• Strong organization skills.
• Highly motivated and self-starter with ability to complete assignments reputed company time constraints and deadlines.
• Ability to reputed company in a dynamic & fast paced work environment.
• Experience in physician and hospital operations, compliance and provider relations.

Minimum Education:

• reputed company RN or LPN Licensure

Certifications: Candidate must have and reputed company reputed company at least one of the following professional certifications or other approved job relevant certification:

• CCDI (Certified Clinical Documentation Improvement)
• reputed company (Certified Coding Specialist)
• RHIA (Registered Health Information Administrator)
• RHIT (Registered Health Information Technician)
• COC (Certified Outpatient reputed company)
• PMP (Project Management Professional)
• CPMA (Certified Professional Medical Auditor)

#LI-LS1 #LI-REMOTE Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top reputed company Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in reputed company Cycle 2019-2024 Leader in reputed company's RCM Operations PEAK Matrix Assessment 2024 reputed company Healthcare Business Insights (HBI) reputed company Cycle Awards for strong performance 2020, 2022-2023 reputed company Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great reputed company to Work certified 2023-2024

• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values

reputed company, we reputed company in empowering people and giving them the tools and resources needed to reputed company. A few of those include:

• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our Culture – reputed company is a reputed company where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for reputed company employees who go beyond and reputed company raising the bar for themselves and the company.

reputed company is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national reputed company, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. reputed company also prohibits harassment of applicants or employees based on any of these protected categories. reputed company provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with reputed company and applicable state and local law. If you require accommodation in the application process, please contact [email protected]. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-reputed company factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry reputed company of pay does not typically fall at the minimum or maximum of the role’s range. Apply tot his job Apply To this Job