Internal Nurse Auditor, Full time - Days

Be a part of a world-class academic healthcare system, UChicago Medicine, as an Internal Nurse Auditor for the Revenue Cycle Administration Department.

The Internal Nurse Auditor, under general direction, reviews patient charge statements and identifies services performed but not properly captured on the patient's bill as well as defends properly documented and delivered services which are being challenged by their party payors or their agents. In the position this person will contact departments and outside parties to gather documentation related to patient charges and services.

Essential Functions

• Reviews patient charge statements and identifies services performed but not properly captured on the patient's bill as well as defends properly documented and delivered services which are being challenged by their party payors or their agents.
• Performs data analysis and verifies information to ensure records are accurate, and provides reports on findings to management.
• Provides recommendations for correcting unsatisfactory conditions, improving procedures, and reducing costs.
• Utilizes computer systems to evaluate data, and substantiates the validity of reported information.
• Researches and clarifies issues related to patient charge statement and contacts departments/third party payors to resolve issues.
• Assist management in establishing and implementing policies and procedures for internal controls to ensure compliance with regulations.
• Performs other duties and projects as assigned.

Required Qualifications

• B.S.N. degree required
• RN license required.
• 1-2 years of auditing medical records/medical claims experience.
• Excellent communication and writing skills, ability to work effectively on multiple projects simultaneously, problem solving ability, and team player.
• Excellent mathematical skills, proficient in Microsoft Office applications, and applicable computer systems. Ability to serve as a resource for staff and/or temporary workers in the department.

License/Certifications

• RN license State of Illinois

Position Details

• Job Type/FTE: Full Time (1.0 FTE)
• Shift: Days, Monday-Friday
• Unit/Department: Revenue Cycle
• Work Location: Flexible Remote (Will need to commit to being onsite when needed)
• CBA Code: Non-union