All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift: Day

The community you’ll be caring for:

• The Maitland Office Plaza houses our highly skilled teams that support our hospital system including Marketing, Patient Financial Services, Revenue Management, the Credit Union and Human Resources.
• The Trickle Building, a two-story office structure, creates an atmosphere of health and healing, with a healthy-style café and quaint chapel.
• The main lobby is filled with lush greenery and a light trickle of water, creating a holistic environment.

The role you’ll contribute:

The Nurse Auditor will ensure that the charges that are generated in the Cerner Clinical system are being properly billed. This will be accomplished by conducting chart audits that compare charges with physician orders, clinical documentation and reports. The Nurse Auditor will work closely with Financial Services and the Patient Accounting departments to review and correct any charge errors that they find. Complex charge issues that require research may be referred to this position by HIM, PFS, Customer Service or case management. The Nurse Auditor will work closely with the FH/Managed Care department anytime there are audits requested by an insurance company. This position will be responsible for participating in and occasionally chair meetings that address process improvement initiatives related to charge accuracy levels. Responsible for auditing multiple operational areas. Provides regional coverage as required to AdventHealth Orlando.

The value you’ll bring to the team:

• Assist AH/Managed Care Department when outside agencies conduct audits involving hospital billing.
• Work closely with AH/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.
• Certain charge issues that appear on the interface rejection report, SSI edits or coding software will be referred to the nurse auditor for research and possible correction.
• When charge errors require correction by the department who generated the original charge; identifies CPA Work Item to appropriate staff or Manager.
• May conduct ongoing departmental charge audits that are focused on checking for specific charge problem areas i.e. procedure billing of observation accounts.
• Monitors charge accuracy levels for all revenue producing departments.
• Conducts charge audits checking physician orders, clinical documentation and reports against billed charges.
• Provides revenue producing departments with a report of their charge accuracy levels as requested.
• Makes process improvement recommendations to departments that have been audited.
• When requested, leads out in charge accuracy improvement meetings that address specific process and charge issues.
• Charge questions that are raised by departments will be researched with the involvement of the corporate CDM/HIM/PFS departments to ensure that the issue is addressed by the proper individuals at the corporate office.
• Utilizes the corporate charge master manual as a guide for determining the proper charge

The expertise and experiences you'll need to succeed:

EDUCATION AND EXPERIENCE REQUIRED:

• 3 years clinical hospital experience, CDM management, case management or order entry maintenance experience.

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

• Current Florida License as an RN