Remote Nurse Auditor – Revenue Cycle Specialist

UChicago Medicine; Illinois; Hybrid; USD 70,000 - 100,000; Full time

Job summary

UChicago Medicine is seeking an Internal Nurse Auditor for the Revenue Cycle Administration Department to review patient charges and ensure proper capture of services. You will contact departments and outside parties to gather documentation and defend documented services that are challenged by payors.

This role combines clinical knowledge with data analysis to improve accuracy and compliance. Responsibilities include performing analyses, generating management reports, advising on procedural

Qualifications

• B.S.N. degree required.
• RN license required.
• 1-2 years of auditing medical records/medical claims experience.
• Excellent communication and writing skills, ability to work effectively on multiple projects simultaneously, problem solving ability, and team player.
• Excellent mathematical skills, proficient in Microsoft Office applications, and applicable computer systems. Ability to serve as a resource for staff and/or temporary workers in the department.

Responsibilities

• Reviews patient charge statements and identifies services performed but not properly captured on the patient's bill as well as defends properly documented and delivered services which are being challenged by their party payors or their agents.
• Performs data analysis and verifies information to ensure records are accurate, and provides reports on findings to management.
• Provides recommendations for correcting unsatisfactory conditions, improving procedures, and reducing costs.
• Utilizes computer systems to evaluate data, and substantiates the validity of reported information.
• Researches and clarifies issues related to patient charge statement and contacts departments/third party payors to resolve issues.
• Assist management in establishing and implementing policies and procedures for internal controls to ensure compliance with regulations.
• Performs other duties and projects as assigned.

Skills

Communication skills

Data analysis

Attention to detail

Team player

Education

B.S.N. degree

Tools

Microsoft Office

Job description

UChicago Medicine is seeking an Internal Nurse Auditor for the Revenue Cycle Administration Department to review patient charges and ensure proper capture of services. You will contact departments and outside parties to gather documentation and defend documented services that are challenged by payors.

This role combines clinical knowledge with data analysis to improve accuracy and compliance. Responsibilities include performing analyses, generating management reports, advising on procedural