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Nurse Auditor, Business Clinic Office, FT, 09A-5:30P

2 months ago


Miami, Florida, United States Baptist Health South Florida Full time

Baptist Health South Florida is the region's largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. Baptist Health is supported by philanthropy and committed to its faith-based charitable mission of medical excellence.

Our mission, vision, and values make us who we are at Baptist Health and are at the center of everything we do. At Baptist Health, we positively impact the human experience for patients, employees, and physicians. Our success comes from a culture of quality and dedication that is instilled into every member of the Baptist Health family.

This year, and for 24 years, we've been named one of Fortune's 100 Best Companies to Work For, based on employee feedback. We've also been recognized as one of America's Most Innovative Companies and People Magazine included us in 50 Companies That Care. Based on the U.S. News & World Report Best Hospital Rankings, Baptist Health is the most awarded healthcare system in South Florida, with its hospitals and institutes earning 45 high-performing honors.

But really, the reason we're excited to come to work is the people.

Working together, we form personal connections with our colleagues that are stronger than most of us have experienced at other jobs. We develop caring relationships with our patients and their families that go beyond just delivering healthcare. After all, we know what it's like to be in their shoes. Many of us have been patients here and have had family members as patients here. We're committed to delivering quality care in the most compassionate way possible because we feel a personal stake in the outcomes. When it comes to caring for people, we're all in.

Description:

The Nurse Auditor is an expert clinician in the related specialty that combines clinical practice with education and leadership. Oversees and performs the concurrent, pre-bill and assists with retrospective audits of billed charges against medical records to identify missing revenue. Identifies opportunities related to charging properly and determines the root cause. Works with the leadership team to develop appropriate, standard charging and documentation practices. Participates in the annual departmental charge master review. Assist in the training of clinical staff on changes in the chargemaster.

Estimated salary range for this position is $ $ / year depending on experience.

Qualifications:

A Bachelors Degree is required. Licenses & Certifications: Registered Nurse Additional Qualifications: RNs hired after 2/2012 with an associate's degree have five years to complete the BSN degree—a minimum of three years of clinical experience.

Procedural coding, billing, and audit experience required. Extensive knowledge of laws, regulations, and rules applicable to billing government payers is helpful. Demonstrates ability to be self-directed with excellent organization, analytical, and interpersonal skills. Excellent oral and written communication skills. Strong attention to detail. National certification in related department specialties is preferred.



EOE