Remote
Ensemble Health Partners

Nurse Auditor

  • Work at Home – Other States
  • Full time
  • R014389

Thank you for considering a career at Ensemble Health Partners!

Brief Description:

The Revenue Integrity RN performs all clinically related revenue integrity activities across the organization. Job duties include, but are not limited to, resolving clinically related billing errors in order to send claims to insurance companies for timely payment, acting as liaison between healthcare providers and billing department for any additional documentation needs, perform charge audits by reviewing medical documentation, identifying trends in clinical billing errors and recommendations for improvement, summarizing educational opportunities for healthcare providers based on audits, reviewing the charge description master (CDM) on a regular basis, and performing ad hoc clinical audit requests.

Responsibilities:

  • Nurse Auditor responsibilities include resolving clinically related billing errors in order to send claims to insurance companies for timely payment, acting as liaison between healthcare providers and billing department for any additional documentation needs, perform charge audits by reviewing medical documentation, identifying trends in clinical billing errors and recommendations for improvement, summarizing educational opportunities for healthcare providers based on audits, reviewing the charge description master (CDM) on a regular basis, and performing ad hoc clinical audit requests.
  • Performs other duties as assigned

Qualifications:

  • 4 year Bachelor’s Degree
  • 3-4 years experience in healthcare industry.
  • Experience in physician and hospital operations, compliance and provider relations preferred.
  • Combination of post-secondary education and experience will be considered in lieu of degree

Ensemble Health Partners is an equal opportunity employer.

We’ll also reward your hard work with:

  • Great health, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w/AD&D
  • Paid time off
  • Tuition reimbursement
  • And a lot more

Scheduled Weekly Hours: 40

Work Shift: Days (United States of America)

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.