Revenue Integrity Nurse Auditor

🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $31 - $47 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

📚 Education

🤝 Non-profit

🌍 Social Impact

Education • Non-profit • Social Impact

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Responsible for coordinating revenue integrity/ charge-related denials with Patient Business Service (PBS) center • Ensures compliant & complete clinical documentation • Assists with denials & related audits • Identifies opportunities for revenue optimization • Performs thorough and routine chart reviews • Provides education to clinical colleagues & tracking of identified trends • Leverages clinical knowledge & standard procedures to ensure timely attention to charge-related trends • Responsible for retrospective charge reviews & assistance with third party charge audits • Ensures tracking of all Revenue Integrity- related audits, identifying trends & collaborating with other Revenue Integrity, PBS & /or departmental colleagues on education & reporting to key stakeholders • Collaborates with Revenue Integrity team on opportunities to improve & implement front-end process to support denial prevention

🎯 Requirements

• High school diploma or GED • License in the applicable state(s) of engagement • Valid driver’s license where required by assignment • Four plus (4+) years of nursing experience • Demonstrated knowledge of revenue cycle & denial management functions • Knowledge of and experience in case management and utilization management • Customer service background is required • Preferred: Registered Nurse Bachelor's degree • Two plus (2+) years of charge audit, managed care or comparable patient payment processing experience preferred • AAPC, AHIMA, CHRI certification/membership • Outpatient CDI experience • Working knowledge of Electronic Health Records (EHR)

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Flexible work arrangements • Professional development