What are the responsibilities and job description for the Revenue Integrity Nurse Auditor-RN-FT-BHC-#13585 position at Broward Health?
Broward Health Corporate ISC
Shift: Shift 1
FTE: 1.000000
Summary:
Responsible for coordinating denials with Centralized Denial Team and Central Business Office ensuring compliant and complete clinical documentation, assists with denials and related audits, and identifies opportunities for revenue optimization. Investigates denials and root causes, which includes performing thorough chart reviews, providing education to clinical colleagues, and tracking of identified trends. Leverages clinical knowledge and standard procedures to ensure timely attention to denials as requested by Audits, CBO, and Revenue Integrity and applicable appeal data gathering. Responsible for retrospective charge reviews, and Outpatient CDI reviews and assistance with third party charge audits. May require travelling between location
Education:
Essential:
* Associate
Education specialization:
Essential:
* in a Nursing Program from an Accredited School of Nursing
Experience:
Essential:
* Two Years
Credentials:
Essential:
* Registered Nurse
* Licensed Practical Nurse
Visit us online at www.BrowardHealth.org or contact Talent Acquisition
*Bonus Exclusions may apply in accordance with policy HR-004-026
Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law.
Salary : $1,000 - $1,000,000
