Nurse Auditor — Surgical Billing & Education Lead

Baptist Health; Miami (FL); In loco; USD 82.000 - 109.000; Tempo pieno

Descrizione del lavoro

Baptist Health is seeking a Nurse Auditor to combine clinical expertise with education and leadership across audit activities. The role oversees concurrent, pre-bill and retrospective audits to ensure proper charging and revenue recognition, while collaborating with leadership to standardize coding and documentation practices.

Minimum 4 years of nursing-related experience with procedural coding and billing knowledge is required.

Competenze

• Bachelor's degree.
• Registered Nurse.
• Minimum 3 years of clinical experience.
• Procedural coding, billing and audit experience required.
• Extensive knowledge of laws, regulations and rules applicable to billing government payers is helpful.
• Demonstrated ability to be self directed with excellent organization, analytical and interpersonal skills.
• Excellent oral and written communications skills.
• Strong attention to detail.
• National certification in related department specialty preferred.

Mansioni

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

Conoscenze

Clinical auditing

Billing & coding experience

Communication skills

Detail-oriented

Auditing experience

Formazione

Bachelor's degree

Registered Nurse (RN)

Descrizione del lavoro

Baptist Health is seeking a Nurse Auditor to combine clinical expertise with education and leadership across audit activities. The role oversees concurrent, pre-bill and retrospective audits to ensure proper charging and revenue recognition, while collaborating with leadership to standardize coding and documentation practices.

Minimum 4 years of nursing-related experience with procedural coding and billing knowledge is required.