Charge Audit RN Sr Associate

Shift:

Charge Audit RN - Senior Associate

Shift Details:

• Full-Time | 40 Hours/Week

• First Shift

• Flexible Scheduling

Why Work at Nebraska Medicine?

• Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration.
• Leading Health Network Work with the region's top academic health network, partnering with UNMC to transform lives through education, research, and patient care.
• Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve.
• Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs.

Be part of something extraordinary at Nebraska Medicine!

Position Description:

Maximize organizational, financial, and clinical compliance by providing essential medical expertise through audits of documentation. Review and validate clinical data and documentation to support revenue integrity ensure accurate charges and compliance with federal, state, private regulations ICD-CM/PCS, CPT, HCPCS coding guidelines, and all organizational policies. Maintain knowledge of laws, regulations, third-party payer requirements and coding guidelines. Maintain comprehensive database(s) for reporting purposes and identification of needed education. Perform independently and collaboratively with team members to meet customer needs. Demonstrate problem solving abilities and promote continuous quality improvement to ensure highest quality customer service by recommending appropriate changes to processes.

Required Qualifications:
* Minimum of three years clinical experience in related areas with demonstrated competence required.
* Bachelor's degree in nursing (BSN) OR Associate's degree in nursing (ADN) with 25 years of nursing experience required.
* Excellent organization and communication skills required.
* Strong problem resolution skills required.
* Experience with computer applications such as Word and Excel required.
* Currently licensed as a Registered Nurse (RN) in the state of Nebraska or current compact state license required.
* Basic Life Support (BLS) certification required, must be from an American Heart Association (AHA) endorsed program (effective for new hires starting January 1, 2023 or later).

Preferred Qualifications:
* Prior medical auditing preferred.
* Master's of Science in Nursing (MSN) degree preferred.
* Knowledge of Medicare billing regulations preferred.
* Knowledge of Medicare Severity Diagnose Related Groups (MS-DRGs), Current Procedural
Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) codes preferred.