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RN/LPN, Nurse Auditor
Ensemble Health PartnersNurse Auditor performing charge audits and assessments for Ensemble's revenue cycle management solutions. Ensuring compliance and timely resolution of charges while educating stakeholders on best practices.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
The ideal candidate must demonstrate strong analytical skills in conducting audits and assessments while effectively educating stakeholders on documentation standards. A proactive approach to problem-solving and compliance within healthcare operations is essential.
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Charge AuditsClient AssessmentsCPT CodesHCPCS CodesRevenue CodesDocumentation StandardsCharge Capture PracticesError ResolutionEpicOpera Solutions Software
Soft Skills
Strong Organizational SkillsSelf-StarterTime ManagementCommunicationTrainingCollaborationProblem-SolvingAttention to DetailStakeholder EngagementAdaptability
Tools & Technologies
EpicOpera Solutions Software
Certifications & Qualifications
RN LicensureLPN LicensureCCDICCSRHIARHITCOCPMPCPMA
Industry Keywords
Healthcare OperationsComplianceProvider RelationsGovernment RegulationsRevenue Cycle Management
Tech Stack
Tools & technologiesPMP
About the role
Key responsibilities & impact- Perform charge audits and potential client assessments
- Timely resolution of incorrect and/or missing charges
- Conduct regular audits for missing revenue
- Educate stakeholders on standards for documentation and charge capture practices
- Review Injection & Infusion work queues in Epic
- Resolve missing and error charges identified by Opera Solutions software
- Conduct site visits to clients for assessments and training
- Maintain understanding of government rules and regulations
Requirements
What you’ll need- Current RN or LPN Licensure
- CCDI (Certified Clinical Documentation Improvement) or CCS (Certified Coding Specialist) or RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) or COC (Certified Outpatient Coder) or PMP (Project Management Professional) or CPMA (Certified Professional Medical Auditor)
- Working knowledge of CPT/HCPCS/Revenue codes
- Strong organizational skills
- Self-starter with ability to complete assignments within time constraints and deadlines
- Experience in physician and hospital operations, compliance and provider relations
Benefits
Comp & perks- Healthcare
- Time off
- Retirement
- Well-being programs
- Professional development