Registered Nurse (RN) Revenue Cycle Nurse Auditor (FT M-F 8-5)

Job description

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. The Revenue Cycle Clinical Nurse Auditor leverages clinical knowledge and documentation review to ensure appropriate charge capture and revenue optimization. Responsibilities include leveraging Epic technology and analytics to identify revenue integrity trends and investigate areas of revenue leakage, monitor financial performance and work with IT to build mistake-proofing into the Epic system. The nurse auditor will work with clinical teams, compliance and other departments within revenue cycle to provide documentation and charging education and maximize system efficiency, timely and complete charge capture, and submission of clean claims to payer to drive financial performance. Reports to: Vice President, Revenue Cycle Job Specific Responsibilities: 1. Responsible for identifying, building, and maintaining revenue guardian edits within the Epic billing system based on documentation and CDM requirements. 2. Perform routine chart audits and clinical documentation review to identify correct level of care, missing, incorrect or undocume...