Registered Nurse Auditor Emergency Department at AdventHealth

Date Posted: 8/1/2019

Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Tampa, FL
  • Job Category
  • Date Posted:
    8/1/2019
  • Job ID:
    19011890
  • Job Family
    Quality/Clinical Effectiveness
  • Travel
    Yes, 25 % of the Time
  • Shift
    1 - Day
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Tampa

Job Description


Description

"Registered Nurse Auditor Emergency Department" AdventHealth Tampa

Location Address: 3100 East Fletcher Avenue Tampa, Florida 33613

Top Reasons to Work at AdventHealth Tampa

  • Florida Hospital Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
  • Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery
  • Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
  • Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.
 
Work Hours/Shift:
Full Time Days
 

You Will Be Responsible For:

  • Assist FH/Managed Care Department when outside agencies conduct audits involving hospital billing.
  • Work closely with FH/Managed Care department when outside agencies request chart audits.
  • When customer service complaints related to charges are received conducts research into the legitimacy of the charge
  • Logs price and billing complaints and reports results to supervisor.
  • Works closely with PFS/HIM/Finance to research and correct specific problem accounts or areas.

Qualifications

What will you need?

  • Ability to interact with the Hospital Financial Department, HIM personnel, and departmental leaders.
  • Knowledge of the disease process and treatment methodology is required and utilized at least 50% of the time.
  • Knowledge of ICD-9 and CPT Coding Principles as well as billing methodologies. Knowledge of computer system includes Windows, Excel, Cerner Clinical and Series billing systems. Ability to communicate effectively in writing and verbally. Must have financial analysis capabilities.
  • Occasional contact with patients and outsiders. Regular contact with employees.
  • The Nurse Auditor has access to institutional financial goals and ongoing reports supporting the achievement and benchmarks of the Finance Committee. The Nurse Auditor utilizes those goals to create reports from both Medical Records and financial systems. The Nurse Auditor has the responsibility to adhere to the Florida Hospital Corporate Compliance plan, to the rules and regulations of all local, state, and Federal agencies, and to the standards of all accrediting bodies.
  • Must be able to cover in absence of a Clinical Auditor
  • Must be adaptable and flexible as required
  • Regional Travel up to 20% required
  • RN with current Florida license
  • 3 years clinical hospital experience, CDM management, case management or order entry maintenance experience.
  • Knowledge of the disease process and treatment methodology is required and utilized at least 50% of the time.
  • BSN (preferred)
  • 3 years of auditing experience either for hospitals or insurance companies preferred.
  • RN


This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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