RN-Charge Auditor

Education Qualifications:

Key Responsibilities:

• Performs daily, weekly, and monthly reconciliation of technical and professional services rendered by the department providers against medical record to ensure charges posted/billed for accurate charge capture
• Works with clinical departments and other impacted departments to ensure audit findings are addressed and assist in implementing best charging practices
• Identifies, and analyzes billing errors and works with appropriate departments to ensure corrections are made in billing systems in a timely manner
• Provides training to staff engaged in billing data entry and related charge capture/reconciliation activities to ensure procedures are properly documented and charges are dropped appropriately, accurately, and timely
• Other duties as assigned to meet client expectations that would include root cause analysis, research of complex charging issues, implementation of corrective actions & provide subject matter expertise during system upgrades & implementations
• Coordinates and reports audit outcome regarding charge errors, percentage of savings or losses, data processing errors, the performance of hospital charging system, and documentation
• Provides feedback of the audit outcomes to the appropriate department to allow for process improvement

Educational Requirements:

• Associate degree or bachelor’s degree in nursing

Required Qualifications:

• 2 years of professional nursing experience

AND

• 2 years of work experience in healthcare coding, billing, charge capture, reimbursement

Minnesota Candidates only