The University of Kansas Health System

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Revenue Integrity Clinical Nurse Auditor

AuditorAuditorFull TimeRemoteTeam 10,001+Since 1998H1B No SponsorCompany SiteLinkedIn

Location

Kansas

Posted

1 day ago

Salary

Not specified

Bachelor Degree2 yrs expEnglish

Job Description

• Leverage clinical knowledge and documentation review to ensure appropriate charge capture and revenue optimization. • Identify, build, and maintain Revenue Guardian edits within the Epic billing system based on documentation and CDM review. • Perform routine chart audit and clinical documentation review to identify missing, incorrect, or undocumented charges. • Collaborate with clinical, financial, and operational stakeholders for accurate charging and coding. • Monitor denial trends and act as a liaison across departments to find solutions. • Provide ongoing education and feedback to improve documentation in support of accurate charge capture and coding. • Use clinical expertise to perform ongoing reviews and monitor KPIs.

Job Requirements

  • Bachelors Degree in Nursing from an accredited college or university.
  • 2 or more years of experience in utilization review, clinical review, or authorizations
  • 4 or more years EPIC experience (preferred)
  • 4 or more years Coding experience and/or CPC or CPC-A coding certification (preferred)
  • Licensed Registered Nurse (LRN) - Multi-State - State Board of Nursing

Benefits

  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements
  • Professional development

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United States