Welcome to Baptist Health South Florida, where our mission is to provide exceptional healthcare services to our community. We are currently seeking a highly skilled and experienced Pool Registered Nurse Auditor, Revenue Integrity to join our team. As a member of our Revenue Integrity department, you will play a crucial role in ensuring accurate and compliant billing practices. We are looking for a detail-oriented and analytical individual with a strong background in nursing and revenue cycle management. If you are passionate about promoting quality and ethical healthcare practices, we invite you to apply and become part of our dynamic team.
Conduct audits of medical records to ensure accuracy and compliance with billing guidelines and regulations.
Review and analyze billing data to identify potential issues or discrepancies.
Collaborate with billing and coding teams to resolve any identified issues and improve overall revenue integrity.
Stay updated on current billing regulations and guidelines to ensure compliant practices.
Communicate audit findings and recommendations to department leaders and assist in implementing necessary changes.
Train and educate staff on proper billing and coding procedures to maintain compliance.
Utilize clinical knowledge and expertise to identify potential areas for improvement in revenue cycle processes.
Maintain accurate and detailed audit reports and documentation.
Participate in revenue cycle improvement initiatives and provide input on best practices.
Maintain strict confidentiality of patient health information and adhere to HIPAA regulations.
Collaborate with other healthcare professionals to ensure quality and ethical patient care.
Serve as a resource for staff regarding coding and billing inquiries.
Attend relevant training and educational opportunities to continue professional development.
Adhere to Baptist Health South Florida’s mission, vision, and values in all job duties.
Perform other duties as assigned by department leadership.
Where is this job?
This job is located at Boca Raton, FL, USA
Job Qualifications
Current Registered Nurse (Rn) License In The State Of Florida
Minimum Of 3-5 Years Of Experience In Healthcare Revenue Cycle Management
Proficiency In Coding And Billing Guidelines, Including Cpt, Icd-10, And Hcpcs Codes
Knowledge Of Medicare Regulations And Reimbursement Policies
Strong Analytical Skills And Attention To Detail In Conducting Audits And Identifying Revenue Integrity Issues
Required Skills
Quality Assurance
Data Analysis
Compliance Regulations
Clinical Documentation
Revenue Cycle Management
Medical Coding
Payment Reconciliation
Healthcare Regulations
Billing Processes
Coding Guidelines
Audit Techniques
Den
Soft Skills
Communication
Conflict Resolution
Leadership
Time Management
Creativity
Flexibility
Teamwork
Adaptability
Problem-Solving
Empathy
