Revenue Integrity Clinical Nurse Auditor - Remote

Overview

The Revenue Integrity Clinical Nurse Auditor leverages clinical knowledge and documentation review to ensure appropriate charge capture and revenue optimization.

In Short

• Full-time remote position.
• Utilizes Epic technology and analytics for revenue integrity.
• Identifies trends and investigates revenue leakage.
• Collaborates with clinical teams and compliance for documentation education.
• Performs routine chart audits and documentation reviews.
• Monitors KPIs related to charge capture and revenue.
• Supports process improvement for medical record compliance.
• Provides education to improve documentation accuracy.
• Leverages AI and automation for revenue optimization.
• Demonstrates knowledge of coding guidelines (CPT, ICD-10).

Requirements

• Bachelor's Degree in Nursing.
• 2+ years in utilization review or clinical review.
• 4+ years of Epic experience preferred.
• 4+ years of coding experience preferred.
• Current RN license required.

Benefits

• Equal employment opportunity employer.
• Reasonable accommodations for disabilities.
• Commitment to service and continuous improvement.
• Collaboration with healthcare professionals.
• Access to a world-class healthcare provider.