Maria Parham Health
The Revenue Integrity Nurse Auditor is a licensed nurse who is responsible for coordinating and organizing activities for regulatory and compliance regulations related to Patient Financial Services. this position would report to the Revenue Recovery Manager.
This position will conduct detailed account audits and activities along the revenue cycle, helping to ensure that processes are in place to create the most complete and correct outcome possible. This position will also help to ensure that documentation-charge-claim are accurate and compliant by performing charge reviews, chart reviews, audits, other clinical/financial appeal and denial responsibilities as well as edits. The Auditor will also provide education and guidance to various levels of staff based on the audit results and work with the Revenue Integrity team to resolve any issues.
Associate's degree required
Minimum Work Experience
Minimal four years clinical experience or two years with BSN and three years of clinical auditing experience required.
Utilization Review experience in audit and/or performance improvement with knowledge of electronic documentation systems or certification from one of the following professional organizations: Case Management certification, Revenue Integrity Professional (CRIP) RHIA, RHIT, CPC, CPC-H or Associates degree in Health information Technology preferred
LPN or RN License required.
Required SkillsLifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.