Revenue Integrity Clinical Nurse Auditor
The University of Kansas Health System
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Leverages clinical knowledge and documentation review to ensure appropriate charge capture and revenue optimization.
- Performs routine chart audit and clinical documentation review to identify missing, incorrect, or undocumented charges across clinic, hospital, and ancillary departments.
- Uses clinical expertise to perform ongoing reviews of medical record documentation and clinical pertinence in accordance with peer standards and Medicare Regulations.
- Monitors and tracks KPIs such as missing and late charges, charge lag, daily revenue, DFNB days/days to timely bill, and clinically triggered charges.
- Supports process improvement activities to assure medical record compliance with regulatory and accreditation bodies.
- Monitors denial trends related to upstream set-up issues and acts as a liaison across departments to find solutions.
Requirements
- Bachelors Degree in Nursing from an accredited college or university.
- 2 or more years of experience in utilization review, clinical review, or authorizations.
- 4 or more years EPIC experience preferred.
- 4 or more years Coding experience and/or CPC or CPC-A coding certification preferred.
- Licensed Registered Nurse (LRN) - Multi-State - State Board of Nursing current State RN license required.
Benefits
- The health system is an equal employment opportunity employer.
- Provides reasonable accommodations to qualified individuals with disabilities.
- Opportunities for ongoing education and feedback.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical documentation reviewcharge capturerevenue optimizationchart auditmedical record documentationKPI monitoringcodingutilization reviewclinical reviewauthorizations
Soft skills
process improvementproblem-solvingcommunicationcollaborationanalytical thinking
Certifications
CPCCPC-ALicensed Registered Nurse (LRN)