Revenue Cycle Auditor RN - Full time, Day, Remote
WFA Digital Insight
The pandemic has accelerated the shift to remote healthcare, with demand for skilled nursing professionals growing exponentially. As the healthcare industry continues to evolve, revenue cycle management has become a critical component of healthcare operations. With over 70% of healthcare providers now relying on remote work, the need for skilled auditors has never been more pressing. Providence, a leader in the healthcare industry, is seeking a Revenue Cycle Auditor RN to join their team. With a strong background in charge capture and revenue cycle processes, candidates can expect a challenging yet rewarding role. Before applying, candidates should be aware of the high level of technical expertise required, as well as the need for strong organizational skills to manage multiple priorities in a fast-paced environment.
Job Description
About the Role
The Revenue Cycle Auditor RN is a critical role at Providence, responsible for providing patient-focused, standardized, and compliant revenue cycle support. This role will assist Providence St Joseph Health in meeting its financial objectives, ensuring that patients receive the best possible care while also optimizing revenue streams. As a key member of the Revenue Cycle Business Services team, the successful candidate will work closely with cross-functional teams to identify and resolve inefficiencies in charge capture and revenue cycle processes.Day-to-day responsibilities will include analyzing data, identifying trends, and implementing process improvements to optimize revenue cycle performance. The ideal candidate will have a strong background in nursing, with experience in acute care settings and a deep understanding of EPIC and MEDITECH systems.
What You Will Do
- Conduct thorough audits of patient records to ensure accurate and compliant coding and billing practices
- Analyze data to identify trends and areas for improvement in revenue cycle performance
- Collaborate with cross-functional teams to implement process improvements and optimize revenue streams
- Develop and maintain strong relationships with clinical and administrative staff to ensure effective communication and collaboration
- Utilize EPIC and MEDITECH systems to analyze data and identify areas for improvement
- Develop and implement training programs to educate staff on revenue cycle best practices
- Participate in quality improvement initiatives to optimize patient care and revenue cycle performance
- Stay up-to-date with regulatory requirements and industry trends to ensure compliance and best practices
- Collaborate with leadership to develop and implement strategic plans to optimize revenue cycle performance
What We Are Looking For
- Associate's Degree in Nursing, or Bachelor’s Degree in Nursing
- 5 years of clinical experience in an acute care setting
- 3 years of experience utilizing EPIC or MEDITECH and data reporting functions
- 3 years of experience working with Revenue Cycle team members to accomplish specific objectives
- Strong background in charge capture and revenue cycle processes
- Experience in a high production, deadline-oriented professional work environment
- Ability to work independently and as part of a team
- Excellent communication and analytical skills
Nice to Have
- Master's Degree in Nursing, Healthcare Administration or equivalent
- Experience working in case management or similar function in an acute care setting
- Experience in a Revenue Cycle or Revenue Integrity role
- Experience working in a multi-hospital and/or integrated healthcare system
Benefits and Perks
- Competitive salary and benefits package
- Opportunity to work with a leading healthcare organization
- Remote work arrangement with flexible scheduling
- Professional development opportunities to advance your career
- Comprehensive health and wellness benefits
- Generous paid time off and holiday schedule
- Retirement savings plan with employer match
- Employee assistance program with mental health resources
How to Stand Out
- Be prepared to discuss your experience with EPIC and MEDITECH systems, as well as your understanding of revenue cycle management principles.
- Highlight your analytical and problem-solving skills, as well as your ability to work independently and as part of a team.
- Showcase your knowledge of regulatory requirements and industry trends in revenue cycle management.
- Emphasize your strong communication and interpersonal skills, as well as your ability to build strong relationships with clinical and administrative staff.
- Consider creating a portfolio that highlights your experience and skills in revenue cycle management, including any process improvements or training programs you have developed and implemented.
- Research the company culture and values, and be prepared to discuss how your skills and experience align with Providence's mission and vision.
- Be prepared to negotiate your salary and benefits package, and consider asking about opportunities for professional development and advancement within the company.
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