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Clinical Auditor RN Perioperative Services
3 months ago
Location: UCHealth Memorial Hospital Central, US:CO:Colorado Springs
Department: SRSS Perioperative Supp Srvcs
FTE: Full Time, 0.9, 72.00 hours per pay period (2 weeks)
Shift: Days
Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant experience
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.
Responsibilities:
- 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.
Requirements:
- Graduate of an accredited or state board of nursing approved Registered/Professional Nursing program if less than 3 years experience.
- State licensure as a Registered Nurse (RN).
- Relevant certification as determined at position level.
- 2 years of surgical nursing experience in perioperative or surgical setting.
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