Clinical Charge Auditor-Revenue Management (RN)
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- 1098223_RR00064445
- Staff, FIN-Revenue Management (C661), NYU Langone Health
- Full-Time/Regular
- NYU Langone Health
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- Mon-Fri 9am-5pm
NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including six inpatient locations, a children’s hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history.
At NYU Langone Health, we believe in a holistic approach to patient care. We emphasize treating the whole person, not just the disease. Our renowned, evidence-based clinical care is led by an award-winning team of doctors and nurses. In fact, for the fourth time in a row, our organization has been recognized for its excellence in nursing by receiving Magnet® status from the American Nurses Credentialing Center (ANCC). This is an honor that only eight percent of hospitals in the U.S. ever achieve, and only one percent earn four or more times.
With over six inpatient locations, and additional facilities spread throughout, NYU Langone Health is New York City’s premier healthcare institution. Our world-class facilities service all five boroughs and treat a full range of medical conditions in both inpatient and outpatient settings. Our growing outpatient network allows us to deliver our exceptional medical services directly to the communities we serve. Plus, our doctors and nurses are routinely voted as some of the best in the nation. It’s no wonder why the name NYU Langone Health has become synonymous with excellence.
COVID-19 Vaccine Requirement:
To protect the safety of our patients, staff, and the community at large effective August 16, 2021 NYU Langone Health requires COVID-19 vaccination of all faculty, staff, voluntary attending physicians, Howard Hughes Medical Institute employees, non-compensated faculty, students, clinical or academic observers, and volunteers, unless granted an approved exemption (in New York State, only medical exemptions shall be considered).
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Position Summary:
We have an exciting opportunity to join our team as a Clinical Charge Auditor-Revenue Management (RN).
In this role, the successful candidate The Clinical Charge Auditor performs detailed audits of inpatient or outpatient medical accounts, comparing the medical record documentation with the itemized bill, nursing procedures, and department documented charging practices. The auditor coordinates and reports audit outcomes regarding charge errors, percentage of savings or losses for the facility, data processing errors, the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill
Job Responsibilities:
Minimum Qualifications:
To qualify you must have a Bachelor’s Degree (or equivalent) in Nursing, health-related field, Accounting, Finance, Management or related field and a minimum of 2 years of related experience, or an equivalent combination of education and work experience.Experience with PCs, word processing, spreadsheet, graphics, and database software applications are desired. Strong quantitative, analytical Interpersonal and communication skills. Proficient in payment review systems, hospital information systems, clinical record information systems, and some coding methodologies. Ability to understand and interpret medical records, hospital bills, and the charge master along with the ability to understand all ancillary department functions.Ability to understand insurance terms (i.e. HMO/PPO, EOB, stop loss, etc.) and payment methodologies and to effectively negotiate with insurance carrier representatives and customers.Knowledge of regulatory agencies requirements (JCAHO, CMS & Medicaid) and remain current on new regulations, policies and procedures
Preferred Qualifications:
RN or other applicable clinical license preferred. Previous auditing experience preferred
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you’ll feel good about devoting your time and your talents.
NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Langone Health’s EEO policies, please click here. Please click here to view the Federal “EEO is the law” poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information. To view the Pay Transparency Notice, please click here.
NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children’s hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. For more information, go to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube and Instagram.