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Nurse Auditor

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POST DATE 9/15/2016
END DATE 10/19/2016

SCL Health Broomfield, CO

Company
SCL Health
Job Classification
Full Time
Company Ref #
16006960
AJE Ref #
576181327
Location
Broomfield, CO
Experience
Entry Level (0 - 2 years)
Job Type
Regular
Education
Associates Degree

JOB DESCRIPTION

APPLY
If you are a registered nurse seeking a business office opportunity with no weekends or holidays, and with the potential to work periodically from home, the Clinical Billing Auditor position may be the right position for you!

Full time and PRN opportunities exist in Broomfield for an RN to work as a Clinical Billing Auditor.

SCL Health is a faith-based, nonprofit health care organization headquartered in Broomfield with facilities located in Colorado, Kansas and Montana. SCL Health operates:

8 hospitals
4 safety net clinics
1 children's mental health treatment center
190 ambulatory service centers
Interested in making a difference? Then check us out. Our rich heritage and mission, and our focus on health care delivery that values person-centered care, excellence and accountability are a winning combination as we bring healthand hopeto our patients.

Our ministry is dedicated to improving the health of the communities and individuals we serve, especially those who are poor and vulnerable.

Visit www.sclhealthsystem.org

The Clinical Billing Auditor is responsible for conducting objective reviews of patient accounts when requested by payors, audit firms, associates, or patients. These reviews require analysis of coding, billed charges, and a review of the medical record documentation to support the billed services.



Seeking a candidate with experience in compliance and auditing in a healthcare setting.






Minimum Required
Preferred (Optional)

Education
Associates Degree
Bachelor's Degree

Additional Detail



Experience
More than 3 years and less than 5 years
More than 5 years and less than 7 years

Additional Detail

Experience in compliance and auditing in a healthcare setting.
Experience in project management and/or software implementation.

Licensure, Certification
or Registration RN with current CO license


Other: Knowledge,
Skills and Abilities Intermediate skill level in MS Office Products including Word, Excel, Access and Power Point.
Strong analytical and decision-making skills.
Strong communication and organizational skills. Knowledge and understanding of charge master document, case management processes, managed care system, coding and reimbursement.
Knowledge of RAC and other state/federal billing audit programs.
Knowledge of change management principles and process improvement methods.

Other combinations of formal education, training and experience may be considered.