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Charge Audit Nurse Specialist

Key Facts

Full time
English

Other Skills

  • Training And Development
  • Communication
  • Time Management
  • Teamwork
  • Problem Reporting
  • Relationship Building
  • Problem Solving

Roles & Responsibilities

  • Active Registered Nurse (RN) license
  • 3-5 years of clinical nursing experience
  • Epic experience preferred
  • Associate Degree in Nursing

Requirements:

  • Perform charge capture for assigned departments and review patient medical records to validate documentation supporting charges
  • Manage Epic work queues assigned to nurse auditors for edit/issue resolution and ensure timely completion of accounts
  • Collaborate with Charge Management, Patient Accounts, HIM, UR and other departments for claim edits, charge issue resolution, and process improvement
  • Report charging trends and documentation issues to Charge Management service line analyst and Charge Audit Manager, and participate in ad hoc process improvement projects

Job description

Job Description​

Saint Luke's is hiring an Experienced RN to join their team as a Charge Audit Nurse Specialist!

Position: Charge Audit Nurse Specialist (Must hold active RN license)
Schedule: Full Time, 40 hours, 8am - 4:30pm

No weekend or Holidays

  • Remote position but must live in the Kansas City metro area; initial training is done onsite for several weeks. Must be able to come onsite to our Corporate office for meetings and additional training as needed after orientation as well.
  • Epic experience preferred

Represents SLHS in supporting charging accuracy among clinical departments.  Performs charge capture for assigned departments and reviews patient medical records and validates documentation to support charges.  Shares charge trends with department Managers and Charge Management so they can provide education to staff for maximal revenue capture for ER, Infusion and nursing units.  Collaborates with Charge Management, Patient Accounts, HIM, UR and other departments for claim edit resolution, charge issue resolution and process improvement.  Serves as a liaison and resource between clinical and Patient Accounts departments.  

  • Complete charge capture for metro Emergency departments, Infusion Clinics and/or most bedded nursing units.

  • Perform IR audits for metro facilities.

  • Manage Epic work queues assigned to nurse auditors for edit/issue resolution and complete accounts in timely manner.

  • Manage the 3rd party commercial audit process.

  • Report charging trends including documentation issues to Charge Management service line analyst and Charge Audit Manager.

  • Participate in ad hoc meetings/projects for process improvement/issue resolution.

Job Requirements

Applicable Experience:

3-5 years

Registered Nurse - Various

Associate Degree - Nursing

Job Details

Full Time

Day (United States of America)

The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

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