Overview

Each member of the Legacy community uses his or her unique talents to make a difference in and around our healthcare system. By combining skill and compassion, we work together to fulfill a mission of making life better for others. Does this sound like an environment in which you could thrive? If so, we invite you to consider this opportunity as a nurse auditor analyst.

Responsibilities

The Senior Nurse Auditor Analyst initiates, supports, and assists with LHS financial viability through focusing on Regulatory and billing Compliance and cooperative efforts to achieve overall team goals. This position supports department charging processes to assure appropriate revenue and reimbursement and works to ensure compliance with State/Federal billing regulations. Assists clinical departments in maximizing charge capture by providing input regarding charge process and system design, development and education regarding the revenue cycle process. Also assists patients and their families with questions and concerns regarding charges and coding related to patient services.

Qualifications

Education:

As required by licensure. Bachelor’s Degree in Nursing preferred

Experience:

Five years acute care nursing experience required. Five years of healthcare billing and/or coding, credit/collections experience or applicable regulatory experience preferred. Familiarity with office automation technology preferred. Quality assurance, project management, leadership and training skills also preferred.

Skills:

Excellent analytical skills to perform analysis and provide recommendations on charge capture and documentation.

Excellent documentation skills.

Strong written and verbal communication skills to work directly with all levels of LHS staff, management and physicians, as well as liaison with consultants and vendors.

Strong organizational and prioritization skills.

Strong CQI skills with ability to redefine job functions and workflow.

Demonstrated knowledge of billing process including registration, authorization, charge entry, department charge practices, coding and insurance denials.

Demonstrated knowledge of billing/collection rules and regulations.

Net typing of 40 WPM, ten-key ability and PC-based computer skills.

Demonstrated interpersonal and effective communication skills which promote cooperation and teamwork.

Ability to work with credibility and effectiveness with medical and administrative staff.

Ability to withstand varying job pressures and organize and prioritize related tasks.

Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines.

Ability to perform the competencies and essential functions of the job as outlined.

LEGACY’S VALUES IN ACTION: 

Follows guidelines set forth in Legacy’s Values in Action.

Equal Opportunity Employer/Vet/Disabled

Licensure

Current applicable state RN license required.