RN Nurse Auditor - Remote

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate.  We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. 

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters.  Come make a difference at Ochsner Health and discover your future today! 

This job performs proactive/prospective audits, retrospective/defense audits, and both targeted and ad hoc charge capture audits. Works in conjunction with clinical personnel during all audits and schedules, prepares action plans, and reports out during the Chart Audit Committee. Assists, advises, and provides expert consultation with the clinical departments to ensure all charges and medical documentation are appropriate and complete for health information management (HIM) and billing purposes. Assists in special projects and conducts internal training to ensure competency and compliance in all aspects of the revenue cycle.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.
 

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education

Required - Graduate of an accredited school of nursing.

Preferred - Master’s degree in finance, accounting, business/health administration, nursing or related field.

Work Experience

Required - 5 years of related healthcare experience,

OR

3 years of related healthcare experience with a master's degree.

Certifications

Required - Current registered nurse (RN) license in state of practice.

Preferred - Related professional certification.

Knowledge Skills and Abilities (KSAs)

• Proficiency in using computers, software, and web-based applications.

• Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.

• Excellent written and verbal communication skills.

• Strong conflict resolution skills.

• Strong presentation skills.

• Ability to work a flexible work schedule (e.g. 24/7, weekend, holiday, on call availability) and travel throughout and between facilities.

Job Duties

• Performs defensive and charge capture auditing functions.

• Handles all aspects of the Chart Audit Committee.

• Communicates audit results with all applicable stakeholders.

• Resolves all assigned pre-bill and post bill edit questions.

• Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.

• Performs other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
The employer is an Equal Opportunity Employer. All qualified applicants will r