Job details

RN-Charge Auditor

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Job Description:

The Registered Nurse – Charge Auditor plans, conducts, and performs charge audits, based on clinical documentation and billing practices for conformity with applicable regulatory requirements. Provides training and education to clinical/charging teams on appropriate documentation and charge capture processes. Identifies proactive opportunities to enhance charge capture processes, regulatory compliance and facilitates appropriate revenue capture. Coordinates and monitors charge capture projects and works closely with clinical leadership to implement best practices and ensure audit findings are addressed.

Education Qualifications:

Key Responsibilities:

Performs daily, weekly, and monthly reconciliation of technical and professional services rendered by the department providers against medical record to ensure charges posted/billed for accurate charge capture
Works with clinical departments and other impacted departments to ensure audit findings are addressed and assist in implementing best charging practices
Identifies, and analyzes billing errors and works with appropriate departments to ensure corrections are made in billing systems in a timely manner
Provides training to staff engaged in billing data entry and related charge capture/reconciliation activities to ensure procedures are properly documented and charges are dropped appropriately, accurately, and timely
Other duties as assigned to meet client expectations that would include root cause analysis, research of complex charging issues, implementation of corrective actions & provide subject matter expertise during system upgrades & implementations
Coordinates and reports audit outcome regarding charge errors, percentage of savings or losses, data processing errors, the performance of hospital charging system, and documentation
Provides feedback of the audit outcomes to the appropriate department to allow for process improvement

Educational Requirements:

Associate degree or bachelor’s degree in nursing

Required Qualifications:

2 years of professional nursing experience

AND

2 years of work experience in healthcare coding, billing, charge capture, reimbursement

Minnesota Candidates only

Licensure/Certification Qualifications:

Certification/Licensure Requirements:

Current licensure by the applicable state board of nursing as an RN (Registered Nurse)

Employee Benefits at Essentia Health*: Health Coverage: Medical, dental, vision, life and disability insurance, plus supplemental health benefit options to ensure employees' well-being.Retirement Savings Plans: 401(k) with employer contributions to support long-term financial security.Professional Development: Opportunities for career growth through training, tuition reimbursement, and educational programs.Work-Life Balance: Flexible scheduling, time off, holidays, and personal leave to help employees manage their professional and personal lives.Employee Wellness Programs: Initiatives focused on physical, mental, and emotional health, including fitness memberships, counseling services, and wellness activities.*Eligibility for Essentia Health’s benefit programs vary. Please refer to the benefit summary provided to you, or contact our HR Service Center at (218) 576-0000 for more information.

Job Location: Business Service Center

Shift Rotation: Day Rotation (United States of America)

Shift Start/End: 0800/1630

Hours Per Pay Period: 80

Compensation Range: $33.57 - $50.36 / hour

FTE: 1

Average salary estimate

$873109.5 / YEARLY (est.)

min

max

$698827K

$1047392K

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What You Should Know About RN-Charge Auditor, Essentia Health

Are you ready to make a significant impact on healthcare billing processes? Join Essentia Health as an RN-Charge Auditor in beautiful Duluth, MN, where you will be at the forefront of ensuring compliance and accuracy in charge audits. As an RN-Charge Auditor, you’ll conduct essential charge audits based on clinical documentation, ensuring that our practices conform to all regulatory requirements. You're not just auditing; you're educating! You will provide training to our clinical and charging teams, guiding them on the best documentation and charge capture processes. Your expertise will help to identify proactive opportunities to enhance these processes and facilitate appropriate revenue capture. You will coordinate projects and work closely with clinical leadership to implement best practices and make sure we address any audit findings effectively. Your insights will lead to improved charge capture while ensuring the quality and integrity of our billing practices. By joining us, you’ll benefit from a supportive work-life balance, including flexible scheduling and numerous wellness programs designed for your well-being. If you're a passionate healthcare professional with a background in nursing and healthcare coding, we want to hear from you!

Frequently Asked Questions (FAQs) for RN-Charge Auditor Role at Essentia Health

What are the main responsibilities of an RN-Charge Auditor at Essentia Health?

As an RN-Charge Auditor at Essentia Health, you will be responsible for planning and conducting charge audits based on clinical documentation and billing practices. Your main duties will include performing reconciliations of services, addressing audit findings, conducting training for staff on charge capture processes, and identifying billing errors to ensure timely corrections.