RN Nurse Auditor

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🔥 0 minutes ago

🎸 Mississippi – Remote

🎸 Mississippi – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Ochsner Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1942

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

💰 Grant on 2023-07

Healthcare • Healthcare Insurance • Non-profit

Ochsner Health is a comprehensive healthcare system dedicated to delivering health services to the people of Louisiana, Mississippi, and the Gulf South. Its mission is to serve, heal, lead, educate, and innovate in healthcare. As the largest academic medical center in Louisiana, Ochsner focuses on a clinically-integrated research program aimed at improving community wellness and educating future healthcare leaders. They offer a variety of services, including primary care, urgent care, women's and men's health, digital medicine, and specialized treatments such as cancer care, heart and vascular services, transplants, and more. Ochsner also emphasizes community engagement through partnerships, education, and outreach programs, while fostering an inclusive environment. They are committed to accessibility, patient stories, and transparency in billing and insurance information. Ochsner is a non-profit organization and an equal opportunity employer.

📋 Description

• Perform proactive/prospective audits, retrospective/defense audits, and targeted and ad hoc charge capture audits • Work with clinical personnel during audits • Schedule and prepare action plans • Report during the Chart Audit Committee • Consult with clinical departments to ensure charges and medical documentation are appropriate and complete for HIM and billing purposes • Assist with special projects • Conduct internal training to ensure revenue-cycle competency and compliance • Perform defensive and charge capture auditing functions • Handle all aspects of the Chart Audit Committee • Communicate audit results with applicable stakeholders • Resolve assigned pre-bill and post-bill edit questions • Adapt communication and patient interactions to the specific patient population • Maintain knowledge of applicable federal, state, and local laws, accreditation standards, and regulatory requirements • Report known or suspected unethical, questionable, safety, privacy, or compliance-related concerns

🎯 Requirements

• Graduate of an accredited school of nursing • Current registered nurse (RN) license in state of practice • 5 years of related healthcare experience, OR 3 years of related healthcare experience with a master's degree • Proficiency using computers, software, and web-based applications • Effective verbal and written communication skills • Ability to present information clearly and professionally to varying levels of individuals • Strong conflict resolution skills • Strong presentation skills • Ability to work a flexible schedule, including 24/7, weekends, holidays, and on-call availability • Ability to travel throughout and between facilities • Knowledge of applicable federal, state, and local laws, accreditation standards, and regulatory agency requirements • Ability to work with patients who have known or suspected communicable diseases and enter isolation rooms • Ability to work in a healthcare environment with potential exposure to hazardous medications or hazardous waste

🏖️ Benefits

• Flexible work schedule (e.g. 24/7, weekend, holiday, on-call availability) • Reasonable accommodations for qualified individuals with disabilities • Equal opportunity employment • Accessible application website and accommodation support