[Hiring] Nurse Audit Manager @Ensemble Health Partners

Role Description

The Nurse Audit Manager is responsible for the daily operation and the performance & effectiveness of Nurse Audit staff. The Manager will be responsible for implementing short- and long-term plans and objectives to prevent revenue loss and to engage in continuous quality improvement of charge capture practices and to ensure compliance. The manager is responsible for the oversight and execution of the NA audit workplan for all Ensemble clients and for creating and monitoring team productivity and quality standards. Manager will develop and maintain department policies and procedures and oversee the SMART program. The Manager will empower staff to develop methods of process improvement, including:

• Planning
• Setting priorities
• Conducting systematic performance assessments
• Implementing improvements based on those assessments
• Maintaining achieved improvements

Manager coordinates team work and travel schedules to ensure deadlines are met.

Essential Job Functions

• Manages all charge audits and assessment activities performed by staff for Ensemble clients.
• Staff responsibilities include conducting charge audits and completing assessments for potential clients.
• Reviews I&I WQs, traveling to client sites to provide education and training related to findings.
• Identifies opportunities to prevent revenue loss and educates clients on sound charge capture practices.
• Responsible for interviewing, hiring, staffing allocation, performance management, and development of staff.
• Counsels and disciplines staff when necessary in accordance with department and/or organizational policies.
• Develops, updates and implements job standards, job duties, departmental policies and performance appraisals for all areas of responsibility.
• Prepares monthly reports as requested.
• Establishes team/departmental goals with the staff to optimize performance and meet goals.
• Collects, interprets and communicates performance data using various tools and systems.
• Works with internal and external customers to make key decisions impacting the organization or individual clients.
• Assists in strategic planning and performs ongoing process improvement evaluation.
• Reviews, updates and implements policies and procedures to support the vision and goals.
• Performs other duties as assigned.

Qualifications

• Required Minimum Education: 4 year/ Bachelors Degree; Specialty/Major: Business or relevant discipline
• Preferred Education: 4 year/ Bachelors Degree; Specialty/Major: RN, Business or relevant discipline
• Licensing/ Certification Required: RN, LVN, LPN, or equivalent
• Licensure/Certification Preferred: CCDI, RHIA, RHIT, COC, PMP, CPMA or equivalent
• Minimum Years and Type of Experience: Five or more years of experience in revenue integrity and/or revenue cycle operations; management experience in healthcare industry preferred
• Other Knowledge, Skills and Abilities Required:
  • Working knowledge of CPT/HCPCS/Revenue codes, charge capture and billing best practices, and government and non-government reimbursement guidelines.
  • Excellent project management, analytical, interpersonal, oral & written communication skills.
  • Strong leadership, mentoring, and training skills.
  • Strong organization skills.
  • Highly motivated and self-starter.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Professional development opportunities, including earning a professional certification relevant to their field and tuition reimbursement.
• Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.