Nurse Auditor & Revenue Integrity Lead

Baptist Health; Florida; On-site; USD 82,000 - 109,000; Full time

Job summary

Baptist Health is seeking a Nurse Auditor to join our revenue integrity team. This expert clinician will oversee and perform concurrent, pre-bill and retrospective audits of billed charges against medical records to identify missing revenue and ensure proper charging and documentation practices.

Eligible candidates have a minimum of 4 years of clinical experience, proficiency in procedural coding and billing audits, and strong analytical and communication skills.

Qualifications

• Bachelor's degree required.
• Minimum 4 years of clinical experience.
• Procedural coding, billing and audit experience required.
• Knowledge of laws and regulations for billing government payers is helpful.
• Strong analytical, organizational and interpersonal skills.

Responsibilities

• Oversees and performs concurrent, pre-bill and retrospective audits of billed charges against medical records.
• Identifies opportunities related to charging properly and determines root causes.
• Works with leadership to develop standard charging and documentation practices.
• Participates in annual departmental charge master review.
• Assists in training clinical staff on chargemaster changes.

Skills

Procedural coding

Billing audits

Communication skills

Attention to detail

Self-directed / organized

Education

Bachelor's degree

Job description

Baptist Health is seeking a Nurse Auditor to join our revenue integrity team. This expert clinician will oversee and perform concurrent, pre-bill and retrospective audits of billed charges against medical records to identify missing revenue and ensure proper charging and documentation practices.

Eligible candidates have a minimum of 4 years of clinical experience, proficiency in procedural coding and billing audits, and strong analytical and communication skills.