Registered Nurse Charge Capture Auditor Full Time

Registered Nurse Charge Capture Auditor Full Time job in ,

Shift: Day
Schedule: Full - Time Regular

Charge Capture, Nurse Auditor, Full-Time!
 
We are looking for a Charge Capture to join our Nurse Auditor team in Amarillo, Texas.

This Full-Time job is located at Lovelace Shared Services: Organizational support departments for all Lovelace facilities including Coding, Finance, Health Information Management, Revenue Cycle, Marketing, and the Resource Team. We are dedicated to exceeding our customers’ expectations in every way.

Charge Capture Job and Responsibilities:

  • The Charge Capture Nurse Auditor performs reviews for charge integrity to include audit of the following: medical record documentation (EMR) to support clinical and financial outcomes, revenue cycle processes, coding validation related to CDM issues (CPT / HCPCS code applications), compliance coding, appropriate billing, operational work flows and other processes which affect appropriate charge integrity.

  • Will assist with the following audits as well; RAC, Payer Defense Requests, Patient Complaint, OIG, C-suite requested audits, etc. The process will include a thorough review of the medical record and billing forms to verify services provided were accurately reported. Reports to Ardent, Director Charge Integrity.

  • Position will cover audit requests received or scheduled from all Ardent markets.

 

Charge Capture Education and Experience Job Requirements:

  • Bachelor’s or Associate’s Degree in a Healthcare Discipline (LPN, RN, required) preferably with a coding certification from AHIMA (RHIT, CCS).

  • Prefer two (2) years consulting experience in charge capture and medical chart auditing.

  • Licensure Desired: AHIMA, RHIT, CCS Certificate

  • Prefer two (2) years consulting experience in charge capture and medical chart auditing. Education may be substituted for relevant experience in accordance to policy.

  • Experience as a nurse auditor reviewing medical records, claims data, etc for charge capture accuracy.

  • Completion of reports for documentation of issues in Word and Excel spreadsheet formats.

  • Conduct medical chart and process reviews for potential billing discrepancies to include but not limited to accurate
      documentation, CPT / HCPCS codes, Revenue Codes, Outpatient Code Editor, and Correct Coding Initiative guidelines.

  • Must have technical knowledge of correct coding principles of CPT / HCPCS and modifier selection.

    Knowledge/Skills/Abilities:

  • Must have a thorough knowledge of hospital operations, hospital charge capturing functions, charging system, revenue generation, and Medicare regulatory environment. Must be detail oriented and work both independently and collaboratively with various administrative and clinical staff. Must be professional and comfortable working with a variety of department managers.


    Why Lovelace?

  • DNV Accredited

  • Named to Becker’s Hospital Review’s list of 100 Hospitals with Great Neurosurgery and Spine Programs

  • Truven Health Analytics named Lovelace Health System among the top 20 percent of health systems in the country, and is the only health system recognized for this honor in New Mexico

  • Named one of the 150 Great Places to Work in Healthcare by Becker’s Hospital Hospital Review


    Lovelace is a drug-free employer with smoke free campuses.

    ID: 3019

     

     

 
 
  

Department / Location

Charge Capture
Ardent Patient Financial Services -