RN/LPN, Nurse Auditor

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Ensemble Health Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 Private Equity Round on 2022-03

Healthcare Insurance • SaaS • Enterprise

Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.

📋 Description

• Perform charge audits and potential client assessments • Timely resolution of incorrect and/or missing charges • Conduct regular audits for missing revenue • Educate stakeholders on standards for documentation and charge capture practices • Review Injection & Infusion work queues in Epic • Resolve missing and error charges identified by Opera Solutions software • Conduct site visits to clients for assessments and training • Maintain understanding of government rules and regulations

🎯 Requirements

• Current RN or LPN Licensure • CCDI (Certified Clinical Documentation Improvement) or CCS (Certified Coding Specialist) or RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) or COC (Certified Outpatient Coder) or PMP (Project Management Professional) or CPMA (Certified Professional Medical Auditor) • Working knowledge of CPT/HCPCS/Revenue codes • Strong organizational skills • Self-starter with ability to complete assignments within time constraints and deadlines • Experience in physician and hospital operations, compliance and provider relations

🏖️ Benefits

• Healthcare • Time off • Retirement • Well-being programs • Professional development