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Job Details

Nurse Auditor / Revenue/FT Mon - Fri Flexible Hours

Location
Omaha, NE, United States

Posted on
Jun 10, 2022

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Profile

Conducts concurrent reviews of billings for selected discharges and coordinates all billing audits with third party agencies
ESSENTIAL FUNCTIONS
Conducts concurrent reviews of all selected discharges by reconciling billing statements to clinical records and making appropriate charges and adjustments to billings based on the results
Ensures that all requests for account audits by third parties are scheduled and investigated in a timely and accurate manner.
Reviews account audits with representatives of third party agencies and negotiate equitable settlements.
Analyzes data obtained from concurrent reviews to identify charge systems that are functioning at less than optimum levels.
Provides training and in services to hospital staff to ensure that all information utilized in patient accounts, medical records and billings is accurate and adequately documented
Performs other duties as assigned
KNOWLEDGE, SKILLS AND ABILITIES:
Ability to transport potentially heavy stacks of medical charts between the hospital and the billing audit area.
Effective interpersonal skills to provide assistance and education to other departments and to parents.
Analytical skills to perform accurate and extensive audits on selected patient accounts.
Proficient use of a calculator and multiple systems to retrieve data needed for audi
EDUCATION AND EXPERIENCE:
Bachelors degree from an accredited college or university in nursing required
Minimum 5 years experience of clinical nursing required, preferably in a pediatric setting
Current licensure as a Registered Nurse in the state of Nebraska to facilitate the analysis of medical reports and charges for appropriateness and accuracy.
Minimum of five years of clinical nursing experience in a pediatric setting, preferable including intensive care experience, in order to effectively perform the medical review functions of the position
CERTIFICATIONS/LICENSURE REQUIREMENTS:
Current and valid Nebraska RN license/Compact state license required.
EOE/Vets/Disabled
IND123
Make a meaningful difference improving the lives of children!
At Childrens, the regions only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring teamand join us in providing brighter, healthier tomorrows for the children we serve.
Details
Date Posted
June 10, 2022
Requisition
300000109062289
Located In
Omaha, NE
SOC Category
00-0000.00
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