NURSE AUDITOR BILLING

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Location:
Arlington, TX US
Job ID:
97196
Department:
Radiology Admin
Area of Interest:
RN
Job Type:
Full Time
Qualifications:
Overview:
Texas Health Arlington Memorial

Qualifications/Duties:
Join a Healthcare System that is ranked #1 as Fortune’s 2015, 2016 and 2017 “Best Workplaces in Health Care" where Helping Hands and Caring Hearts makes a difference!

At Texas Health we are dedicated to finding people to help us fulfill our commitment to make health care human again. We staff our exemplary hospital with health care professionals who approach every patient, every colleague, every physician and every family member with compassion. Come join us on our Journey as we rise to the next level!

Texas Health Arlington Memorial Hospital has a full time opportunity for a Nurse Auditor Billing RN to be an asset to the Radiology Administration Department (IR).

Days and Hours: M-F, Day Shift (flexible as needed)

Qualifications:
-Graduate of Accredited School of Nursing, Associates Degree in Nursing
-Required Licenses/Certification: Registered Nurse in the State of Texas (current) upon hire, BCLS, ACLS within 30 day of hire.  
-Required Skills: Practices within the regulations of the Texas Nurse Practice Act.  Serves as a role model, intra/interdisciplinary collaborator and coordinator for quality patient care.  Possesses organizational skills to direct and manage care on a nursing unit for an individual shift. Demonstrated competency in modality(s) Management, Microsoft Office, Venipuncture

-Required Experience: 5 years' clinical nursing experience in specified area of audit- IR preferred.


Position Responsibilities:

-Performs audits of patient charge sheet and medical records to ensure accuracy of charges using knowledge of coding regulations for third party payers and assures accuracy of charge sheets. Assures medical record and charge sheet reconciliation and turns reviewed and corrected charge sheets in to charge entry staff.   Reviews edict reports and makes corrections. Monitors monthly revenue report.

-Responsible for staff education on charging, implementing changes, new information needed in documentation and problem trends. Reeducates nurses if inaccuracies occur. Reports uncorrected charging errors and trends to employee’s elevator. Responsible for orienting new staff and RN contract staff on the charging process.

-Completes audit worksheets and prepares necessary forms which reflect any patient charges adjustments.

-Available to assist with request for internal/external auditors to clarify charging methodologies. Works closely with Medical Management; Corporate Compliance; Central Business Office and entity Finance to verify/correct patient charges.  Investigates price book discrepancies and implements price book changes coordinating with Corporate and Finance.


Entity Information:
Texas Health Arlington Memorial Hospital, a 369-bed acute-care, full-service medical center has been serving Arlington and the surrounding communities since 1958. Hospital services include comprehensive cardiac care, women’s services, neurosciences, cancer services, orthopedics, emergency services and an advanced imaging center. Texas Health Arlington Memorial has over 1,600 employees, 250 volunteers and 630 physicians on its medical staff.  We invite you to join us in furthering your career and our accomplishments and philosophy of excellence.  For more information, visit TexasHealth.org/Arlington.
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-Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. LEARN MORE

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