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Registered Nurse Charge Auditor

We Are Hiring

 

RN Charge Auditor-Ascension Seton Revenue Integrity

Full Time Monday-Friday

 

 

Preferred Candidate Will Have:

  • Three (3) years of experience in a hospital or other acute setting

  • Working knowledge of medical records, broad range of clinical experience is helpful.  Experience in Medical/Surgical, Intensive Care and/or Surgery is preferred.  Good written and verbal communication skills.  Ability to work independently.  Effective critical thinking and problem-solving skills.  Ability to multitask and deal with unscheduled or unanticipated events.  Able to demonstrate the Ascension Core Values.

Other Skills:

  • Related experience in healthcare management or revenue cycle operations

  • Experience with Cerner Charging Systems and Invision PA preferred

  • Knowledge of various hospital and professional fee coding and charging systems including ICD10, CPT and HCPCS as well as reimbursement systems such as CMS DRG, OPPS and PFS and all third-party billing requirements

  • Analytic and problem-solving skills

  • Attention to detail

  • Must be able to interact with members of the clinical and revenue cycle teams communicate clearly

Why Join Ascension?

Ascension Seton, based in Austin, Texas, is a faith-based non-profit healthcare system founded in 1902 by the Daughters of Charity. Called to be a sign of God’s unconditional love for all, Ascension Seton strives to expand access to high-quality, low-cost, person-centered care and services. Ascension Seton operates more than 100 clinical locations, including four teaching hospitals which serve as training sites for Dell Medical School at The University of Texas.

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension is committed to delivering compassionate, personalized care to all, especially to those most in need. In FY2018, Ascension provided nearly $2 billion in care of persons living in poverty and other community benefit programs.

 

What You Will Do

As an Associate with Ascension Seton, you will have the opportunity to coordinate payer denials and appeals, respond to insurance company requests for medical records, and perform medical record reviews.

 

 

Complexity of Work:

  • Within scope of job, requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.  Must be able to work in a stressful environment.

Responsibilities:

  • Reviews electronic/paper medical records to determine accuracy of billing through verification of coding, billing and supporting clinical documentation.

  • Acts as a clinical resource for revenue cycle staff.

  • Reviews accounts with billing and charging issues in daily electronic queues.  Identifies charging and billing error trends and communicates them to clinical departments and leadership in Revenue Integrity and billing to correct front end processes and/or develop system billing edits and bridge routines to automate correction when appropriate. 

  • Interacts and collaborates with other hospital departments to obtain supporting clinical documentation, providing training and education on charging and documentation. 

  • Conducts audits to ensure accurate charge capture, correct and add charges as needed, and enhance reimbursement.

  • Coordinates all activities associated with insurance carrier audit requests and works with payers to ensure timely handling of these payer audits.

  • Schedules audits and meets with third party auditors and payers to facilitate efficient and effective completion of third party bill audits.

  • Assists with compliance audits and reports audit findings and feedback effectively. 

  • Performs other duties as assigned.

 

 

What You Will Need

Licenses/Certifications/Registration:

  • Required Credential(s):
    • Licensed Registered Nurse credentialed from the Texas Board of Nursing .  

Education:

  • Diploma 
    • Diploma from an accredited school/college of nursing required

Work Experience:

  • None required.

Equal Employment Opportunity

Seton Healthcare Family is an equal employment opportunity / Affirmative Action employer and complies with all applicable federal, state and local equal employment regulations and laws. It is the policy of the Seton Healthcare Family to afford equal employment opportunities to all employees and prospective employees without regard to their race, color, ancestry, religion, sex, sexual orientation, national origin, age, physical or mental disability, citizenship status, veteran status, gender identity or expression, or any other characteristic or status that is protected by federal, state, or local laws. This policy applies to all personnel actions, such as hiring, promotion, transfer, demotion, termination, layoff and all other conditions and privileges of employment in accordance with applicable federal, state, and local laws.

Affirmative Action goes beyond the concept of equal employment opportunity. Affirmative Action policies and programs are required to overcome the present effects of past discrimination and to achieve equal employment opportunity for members of groups that are or have been formerly under-represented. Affirmative Action policies and programs are tools whereby additional efforts are made to recruit, employ and promote qualified members of formerly excluded groups, even if that exclusion cannot be traced to particular discriminatory actions. Through specific and result-oriented activities, Seton Healthcare Family’s goals are to ensure that every person is given full consideration through equal employment opportunity policies and practices and to achieve a representative workforce through its affirmative action efforts.
 
It is further the policy of the Seton Healthcare Family to encourage vendors, contractors, affiliate institutions and others doing business with the Seton Healthcare Family to observe the principles of Equal Employment Opportunity and Affirmative Action.
 

Seton Healthcare Family is an EEO/AA employer: M/F/Disabled/Vet.

For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

EEO is the Law Poster Supplement
 

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

Job ID: 373602
Category: Nursing
Facility: TXAUS Network Services
Ministry: Ascension Seton, TX
Location: Austin, TX

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