Nurse Auditor, Remote Nationwide

R033678Thank you for considering a career at Ensemble Health Partners!Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe 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 quo, 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 Ideas: 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” Ensemble 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 ideas, 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 all incorrect and/or missing charges on prebill and post bill Opera reports to prevent revenue loss and ensure compliance requirements are met. Is responsible for monitoring & resolving revenue 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 revenue 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 all 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 Ideas: 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” Ensemble 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 all incorrect and/or missing charges to prevent revenue 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 revenue 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 bill missing and error charges identified by Opera Solutions software to prevent revenue 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 related 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 keep abreast of all charge capture guidelines & how they may impact revenue.• Maintain thorough understanding of government rules and regulations, generally accepted auditing standards and common audit procedures and techniques. .• Works on ad hoc projects and assessments, & performs other duties as assigned.Experience We Love:• 1-3 ye

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