Nurse Auditor Jobs

Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference
The Opportunity:
Nurse Auditor responsibilities include resolving clinically related billing errors in order to send claims to insurance companies for timely payment, acting as liaison between healthcare providers and billing department for any additional documentation needs, perform charge audits by reviewing medical documentation, identifying trends in clinical billing errors and recommendations for improvement, summarizing educational opportunities for healthcare providers based on audits, reviewing the charge description master (CDM) on a regular basis, and performing ad hoc clinical audit requests.
Performs other duties as assigned
Qualifications:

• Active RN or LPN License
• Working knowledge of CPT/HCPCS/Revenue codes, charge capture and billing best practices, and government and non-government reimbursement guidelines.
• Ability to thrive in a dynamic & fast paced work environment.
• Experience in physician and hospital operations, compliance and provider relations
• Highly motivated and self-starter with ability to complete assignments within time constraints and deadlines.
• 4 year Bachelor’s Degree
• Strong organization skills.
• Experience in physician and hospital operations, compliance and provider relations preferred.
• 3-4 years experience in healthcare industry.

Join An Award-winning Company
Three-time winner of “Best in KLAS” 2020-2022
2022 Top Workplaces Healthcare Industry Award
2022 Top Workplaces USA Award
2022 Top Workplaces Culture Excellence Awards

• Leadership
• Innovation
• Work-Life Flexibility
• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Associate 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.

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [email protected].
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