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RN-Charge Auditor - Orthopaedic Hospital of WI

We Are Hiring

RN-Charge Auditor - Orthopedic Hospital of WI - Full-Time,Day - Ortho Hospital of Wisconsin - Glendale,WI

Why Join Ascension?

Ascension Wisconsin operates 24 hospital campuses and more than 100 related healthcare facilities from Racine to Eagle River. Ascension Wisconsin employs more than 1,300 primary and specialty care clinicians. Ascension Wisconsin is a faith-based healthcare organization that has been serving the state since 1848. In FY2018, Ascension Wisconsin provided more than $292 million in community benefit, including care of persons living in poverty.

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-WI, you will have the opportunity to coordinate payer denials and appeals, responds to insurance company requests for medical records, and performs medical record reviews.

Responsibilities:

  • Reviews medical records to determine accuracy of billing through verification of coding, billing and supporting clinical documentation.
  • Coordinates all activities associated with insurance carrier audit requests and works with payers to ensure timely handling of these payer audits.
  • Reviews technical payer denials and determines whether an appeal is justified. Writes and tracks technical appeal letters and relay information with billing department.
  • Conducts audits to ensure accurate charge capture, enhance reimbursement and identify savings potential.

What You Will Need

Licenses/Certifications/Registration:

  • Required Credential(s):
    • Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or job transfer date. Licensure from the Wisconsin Board of Nursing OR current home state license if considered multi-state/Compact State.
    • Advanced Life Support credentialed from the American Heart Association (AHA) obtained within 12 Months (1 year) of hire date or job transfer date. 
    • BLS Provider credentialed from the American Heart Association (AHA) obtained within 2 Months (60 days) of hire date or job transfer date. 
    • Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or job transfer date. Licensure from the Wisconsin Board of Nursing OR current home state license if considered multi-state/Compact State.

Education:

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

Work Experience:

  • None required.

Equal Employment Opportunity

Ascension Wisconsin is an equal opportunity employer and will not discriminate against employees or prospective employees on basis of age, race, creed, color, religion, marital status, sex, national origin, ancestry, citizenship, sexual orientation, disability, arrest and/or conviction record, military status, protected veteran status, or any other characteristic or status protected by law.

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

M/F/Disabled/Vet

EEO is the Law Poster Supplement

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/ofccp_eeo_supplement_final_jrf_qa_508c.pdf

Job ID: 377259
Category: Nursing
Facility: WIMIL Columbia St Marys Inc
Ministry: Ascension Wisconsin, WI
Location: Glendale, WI

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