Registered Nurse Auditor

AdventHealth; Tampa (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization in Tampa is seeking a Nurse Auditor to ensure accurate billing through chart audits and collaboration with various departments. Candidates should have 3+ years of clinical hospital experience, a Florida RN License, and a commitment to ensuring charge accuracy. Join a mission-driven team focused on whole-person care and community wellness.

Benefits

Paid Days Off from Day One

Student Loan Repayment Program

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Qualifications

• 3+ years of related clinical hospital experience.
• High School Diploma required.
• Current Florida RN License is mandatory.

Responsibilities

• Conduct chart audits that compare charges with physician orders and clinical documentation.
• Work closely with Financial Services and Patient Accounting departments to review and correct charge errors.
• Responsible for participating in process improvement initiatives related to charge accuracy.

Skills

Clinical hospital experience

Chart auditing

Attention to detail

Education

High School Diploma

Current Florida License as an RN

Job description

All the benefits and perks you need for you and your family:

· Paid Days Off from Day One
· Student Loan Repayment Program
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift : Days M-F

Location: Virtual

The community you’ll be caring for: AdventHealth Division

· AdventHealth Tampa, a faith-based not-for-profit 626-bed tertiary-level acute care hospital located in the uptown district of Tampa, Florida, specializes in advanced cardiovascular medicine, neuroscience and neurology, digestive health, orthopedics, women’s services, pediatrics, oncology, endocrinology, bariatrics, wound healing, sleep medicine and general surgery including minimally invasive and robot-assisted procedures. GME programs on the hospital campus currently include general surgery, obstetrics and gynecology, internal medicine and transitional year.
· AdventHealth Tampa is home to the renowned AdventHealth Pepin Heart Institute, a recognized leader in cardiovascular disease prevention, diagnosis, treatment and leading-edge research – caring for Tampa Bay’s hearts for over 35 years.
· The Kiran C. Patel Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine, advanced surgery and more – contributing valuable knowledge that leads to tomorrow’s cures for conditions such as heart failure, cancer and other diseases.”

The role you’ll contribute:

The Nurse Auditor will ensure that the charges that are generated in the Cerner Clinical system are being properly billed. This will be accomplished by conducting chart audits that compare charges with physician orders, clinical documentation and reports. The Nurse Auditor will work closely with Financial Services and the Patient Accounting departments to review and correct any charge errors that they find. Complex charge issues that require research may be referred to this position by HIM, PFS, Customer Service or case management. The Nurse Auditor will work closely with the FH/Managed Care department anytime there are audits requested by an insurance company. This position will be responsible for participating in and occasionally chair meetings that address process improvement initiatives related to charge accuracy levels. Responsible for auditing multiple operational areas. Provides regional coverage as required to Tampa, Helen Ellis, Carrollwood, LTAC, Dade City, Ocala and Wesley Chapel.

The value you’ll bring to the team:

· Assist FH/Managed Care Department when outside agencies conduct audits involving hospital billing.
· Work closely with FH/Managed Care department when outside agencies request chart audits.
· When customer service complaints related to charges are received conducts research into the legitimacy of the charge
· Logs price and billing complaints and reports results to supervisor.
· Works closely with PFS/HIM/Finance to research and correct specific problem accounts or areas.

The expertise and experiences you’ll need to succeed:

· High School Diploma.
· 3+ years of related clinical hospital experience. · Current Florida License as an RN.

About the company

AdventHealth is a Seventh-day Adventist non-profit health care system headquartered in Altamonte Springs, Florida, that operates facilities in 9 states across the United States.

Notice

Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at [e-mail] or 407-000-0000.

Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.

An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report . NYC applicants may request an alternative process or accommodation at [e-mail] or 407-000-0000.