Nurse Auditor, Revenue Integrity

🕒 July 17

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $32 - $48 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 35%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🤝 Non-profit

Healthcare • Education • Non-profit

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

• Coordinate revenue integrity/charge-related denials with the Patient Business Service center • Ensure compliant and complete clinical documentation • Assist with denials and related audits • Identify opportunities for revenue optimization • Perform thorough and routine chart reviews • Provide education to clinical colleagues and track identified trends • Apply clinical knowledge and standard procedures to address charge-related trends • Perform retrospective charge reviews and assist with third-party charge audits • Travel between locations within the region as required • Track Revenue Integrity-related audits, identify trends, and collaborate on education and reporting to stakeholders • Serve as a resource contact for clinical information requested by colleagues and payers • Collaborate with the Revenue Integrity team to improve and implement front-end denial-prevention processes

🎯 Requirements

• High school diploma or GED • Completion of an accredited program associated with license • License in the applicable state(s) of engagement • Valid driver’s license where required by assignment • Four (4) + years of nursing experience • Demonstrated knowledge of revenue cycle and denial management functions • Knowledge of and experience in case management and utilization management • Customer service background • Registered Nurse preferred • Training or experience according to assignment area • Bachelor’s degree preferred • Two (2) + years of charge audit, managed care or comparable patient payment processing experience preferred • AAPC, AHIMA, CHRI certification/membership strongly preferred • Outpatient CDI experience preferred • Working knowledge of Electronic Health Records (EHR) preferred • Ability to use computers and other technology • Ability to maintain a safe working environment and use PPE • Ability to provide assistance in an emergency