Clinical Auditor Registered Nurse with minimum 2 years of surgical nursing experience in perioperative or surgical setting.
Location: Medical Center of the Rockies
FTE Status: Part Time
FTE: 0.60/48 hrs per pay period
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Summary: Ensures that correct charges are entered for patient care services, following regulatory billing compliance guidelines. Communicates estimates of charges for services, corrects problems with billing.
Ensures that correct charges are entered for patient care services. Communicates estimates of charges for services, corrects problems with billing. Reviews chart for correctness and completeness in the documentation of biologics and notifies appropriate personnel regarding any necessary corrections (according to Federal guidelines). Coordinates with Finance on perioperative services charges. Ensures charges follow regulatory compliance billing guidelines.
Assists in training staff to verify and explain charges. Provides feedback and education to staff. Audits medical records to ensure compliance; notifies appropriate personnel to make any needed corrections in errors that could effect the bill. Researches lost charges and zero unbilled accounts. Researches charges to determine the cause for billing errors.
Provides feedback concerning charge errors and complaints. Analyzes errors and makes suggestions for improvement.
Acts as a liaison concerning billing charges.
Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.
Credentials: Essential: * Registered Nurse
Minimum Required Education: Graduate of an accredited Registered/Professional Nursing program if less than 3 years experience. Preferred: Bachelor's degree in Nursing. Required Licensure/Certification: State licensure as a Registered Nurse (RN). Relevant certification as determined at position level. Minimum Experience: 2 years of surgical nursing experience in perioperative or surgical setting.
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Internal Number: 11022
With award-winning hospitals and facilities serving the entire Front Range, University of Colorado Health is the state’s largest and most innovative health system. By integrating the strengths of academic medicine with the finest community health care, we’re able to push the boundaries of medicine and offer our employees endless career opportunities. Here, there are no limits, except those you place on yourself. Everyone is united by their passion for discovery and their commitment to improving patients’ lives.