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Charge Audit Nurse Specialist

Role overview

Qualifications

  • Must hold active RN license
  • 3-5 years applicable experience
  • Associate Degree in Nursing
  • Epic experience preferred

Responsibilities

  • Perform charge capture for assigned departments and validate documentation
  • Share charge trends with department Managers and provide education for revenue capture
  • Collaborate with various departments for claim edit resolution and process improvement
  • Manage Epic work queues and 3rd party commercial audit process

Key facts

Hard skills

Other skills

  • Collaboration
  • Communication
  • Teamwork
  • Problem Solving

About the company

Saint Luke's Health System logo

Saint Luke's Health System

Hospitals & Health Care

Saint Luke's Health System is a faith-based, nonprofit aligned health system committed to the highest levels of excellence in providing health care and health related services in a caring environment. We are dedicated to enhancing the physical, mental and spiritual health of the communities we serve.Saint Luke’s Health System includes 18 hospitals across the Kansas City region, home care and hospice, behavioral health care, dozens of physician practices, and more. Saint Luke’s offers:*The region’s only heart transplant program, and one of the nation’s leading cardiovascular disease outcome research programs, at Saint Luke’s Mid America Heart Institute*Treatment for complex brain and spinal cord diseases, and the nation’s leading stroke reversal program dedicated to preventing and treating stroke, at Saint Luke’s Neuroscience Institute*A Level I trauma center*Advanced surgical care*Liver and kidney transplantation programs*A comprehensive maternal-fetal diagnostic and treatment center*A Level III Neonatal Intensive Care Unit (the highest level of neonatal care according to national standards)*An eICU, an innovative electronic intensive care patient care and monitoring program that spans multiple hospitals throughout the region and enhances outstanding bedside care*A nationally recognized children's behavioral health centerSaint Luke’s Health System Hospitals include:Saint Luke’s Hospital of Kansas CitySaint Luke’s East Hospital – Lee’s Summit, MOSaint Luke’s North Hospital – Barry RoadSaint Luke’s North Hospital – SmithvilleSaint Luke’s South Hospital – Overland Park, KSCrittenton Children’s Center – Kansas City, MOAnderson County Hospital – Garnett, KSHedrick Medical Center – Chillicothe, MOWright Memorial Hospital – Trenton, MOSaint Luke’s Cushing Hospital – Leavenworth, KSSaint Luke's Home Care and Hospice House - Kansas CityAllen County Regional Hospital - Iola, KSThe best place to get care. The best place to give care.

Company details

Company typeXLarge
IndustryHospitals & Health Care
Company size10001

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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 yearsRegistered Nurse - VariousAssociate Degree - Nursing

Job Details

Full TimeDay (United States of America)

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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