RN Clinical Audit Specialist - Emergency Department

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary:

collaborates with departments to perform requested audits, documents additions and corrects errors, enters accurate patient billing, validates and updates all charges, and communicates department charging issues when necessary.

EMERGENCY DEPARTMENT

• Two-campus (Smithfield and Clayton) Emergency Departments with a combined total of 64 beds , offering diverse patient populations and acuity levels

• 4:1 nurse-to-patient ratios , supporting safe, high-quality patient care

• Strong team-based environment with a culture of collaboration and mutual support

• Chest Pain Accredited facility, delivering evidence-based cardiac care, along with being an interventional STEMI center M-F 7a-5p

• Primary Stroke Center , providing rapid, coordinated stroke response and treatment

• FULL TIME Positions work Three (3) 12-hour shifts per week , promoting work-life balance and schedule flexibility

Responsibilities:

1. Promotes service excellence by serving as a role model and addressing patient/family concerns.

2. Maintains a thorough understanding of both Rex Healthcare and Emergency Services policies and procedures.

3. Validates and updates charges found in Chargemaster. Enters accurate patient billing information to the charge system. Reconciles Pyxis charges. Departmental charging issues are noted and communicated to the appropriate department head via monthly reports and verbally on an as-needed basis. Provide support to Billing, Patient Accounting and insurance representatives to assist with billing issues and patient inquiries. Keeps current with OIG and Medicare billing issues to assist in hospital compliance.

4. Assists in follow up of culture results of discharged patients.

5. Documents additions and corrects errors to charge sheet according to department standard.

6. Orients new staff to the charging practices and documentation standards of the department. Communicates with staff for needed documentation for accurate charging and billing.

7. Collaborates with appropriate departments when needed to perform requested audits.

8. Maintain an understanding of medical record practices, standards and regulations of Health/Care Finance Administration and Medical Review of North Carolina, etc.

Other Information

Other information:

Education Requirements:

• Graduate of an accredited school of nursing. At least two (2) years previous Emergency Department nursing experience.

Licensure/Certification Requirements:

• RN NC LIC

Professional Experience Requirements:

• At least two (2) years previous Emergency Department nursing experience. High level of interpersonal skills and organizational abilities. Ability to deal with difficult situations and fast paced environment. ED charging/coding experience preferred. High level of interpersonal skills and organizational abilities. Ability to deal with difficult situations and fast paced environment. ED charging/coding experience preferred.

Knowledge/Skills/and Abilities Requirements:

• Language Skills: Ability to read, analyze, and interpret clinical information and technical procedures. Ability to document clinical information. Ability to effectively communicate information and respond to questions from patients, physicians, family members, and other Rex staff. Mathematical Skills: Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions.

Job Details

Legal Employer: NCHEALTH

Entity: Johnston Health

Organization Unit: Emergency Department -

Work Type: Full Time

Standard Hours Per Week: 36.00

Salary Range: $28.87 - $41.50 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: US:NC:Smithfield

Exempt From Overtime: Exempt: No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.