[Hiring] Nurse Auditor @Ensemble Health Partners

Role Description

The Nurse Auditor I performs charge audits and other assessments as assigned by management. This role is responsible for timely resolution of all incorrect and/or missing charges on prebill and post bill Opera reports to prevent revenue loss and ensure compliance requirements are met.

• Responsible for monitoring & resolving revenue loss reports, assigned work queues, and identifying opportunities for any additional documentation needs to support captured charges.
• Fulfill audits requests by reviewing clinical documentation, identifying trends for missing and/or incorrect charges.
• Applies clinical knowledge to educate stakeholders on standards for documentation and charge capture practices and to look for opportunities of improvement based on audit outcomes.
• Identifies opportunities for process improvements to assist clients with preventing revenue loss.
• Meet and/or exceeds department productivity and quality standards.
• Responsible for maintaining audit logs and strive for customer service excellence while meeting the mission and goals of the organization, as well as meeting all regulatory compliance requirements.

Qualifications

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

Requirements

• Join an award-winning company.
• Five-time winner of “Best in KLAS” 2020-2022, 2024-2025.
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024.
• 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024.
• Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024.
• Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023.
• Energage Top Workplaces USA 2022-2024.
• Fortune Media Best Workplaces in Healthcare 2024.
• Monster Top Workplace for Remote Work 2024.
• Great Place to Work certified 2023-2024.

Benefits

• We offer a 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.
• We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.