Careers | Methodist Health System

Careers

Career opportunities at Methodist Health System

NURSE AUDITOR

Job Title
NURSE AUDITOR
Job ID
27579240
Location
Dallas,  TX 75203
Other Location
Description

NURSE AUDITOR FEATURED


MHS FINANCIAL SERVICES
METHODIST HEALTH SYSTEM
DALLAS, TX, 75265-5999
Full-time · Day · 8-5
Req # 20059149

The Nurse Auditor-Revenue Integrity maintains the integrity of the Revenue Integrity program and the Methodist Health System Charge Master to ensure compliance with Medicare/Medicaid regulations, Managed Care contractual agreements and the applicable policies of Methodist Health Systems.  


Your Job Requirements:

  • Bachelor's degree preferred
  • Requires Registered Nurse with at least 3 years’ experience
  • Minimum 2 years of experience in Revenue Cycle Operations in a hospital setting, Multi-hospital setting preferred
  • EPIC experience preferred
  • EPIC certification preferred

 

Your Job Responsibilities:

  • Reviews Regulatory and Compliance communications, CMS transmittals, National Coverage Decisions (NCD) and Local Coverage Decisions (LCD).
  • Acts as a liaison between multiple departments to help resolve billing edits that prevent claims from billing timely. Monitoring and assistance with work queues to improve EPIC workflow process. Provides education to the departments on charge capture best practices and communicates quarterly/yearly regulatory changes as needed.
  • Assists in the coordination of Insurance audits. Provides detailed analysis of current denial trends and provides education on documentation improvement to prevent future denials.
  • Organization - proactively prioritizes needs and effectively manages resources
  • Communication - communicates clearly and concisely
  • Leadership - guides individuals and groups toward desired outcomes, setting high performance standards and delivering quality services
  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Tactical execution - oversees the development, deployment and direction of complex programs and processes
  • Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems
  • PC skills - demonstrates proficiency in Microsoft Office applications and others as required
  • Financial management - applies tools and processes to successfully manage accounts receivable to budget
  • Project Management - assesses work activities and allocates resources appropriately
  • Start-Up Operations - understands complexities and needs to start-up, build and maintain a new business

#MHS

Additional Information:

 

Methodist Health System is a highly revered, leading nonprofit healthcare organization in Dallas, Texas. Named on of the fastest-growing health systems in America by Modern Healthcare, Methodist will soon include 11 hospitals, either through ownership or affiliation. Our wholly owned and full-service hospitals include Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers; Methodist Richardson -- Campus for Continuing Care; and, opening fall 2020 Methodist Midlothian Medical Center.  Our affiliated physician organization is Methodist Medical Group, which includes more than 50 healthcare clinics, two concierge medicine clinics, an urgent care clinic and a virtual care platform known as MethodistNOW. At Methodist, we strive to have a diverse workforce that reflects the communities we serve -- one that is welcoming of the skills and talents of all groups.  Our reputation as an award-winning employer shows in the honors we've earned:

  • Magnet® designations for Methodist Dallas, Methodist Mansfield, and Methodist Richardson
  • A Best Place to Work 15 years straight by the Dallas Business Journal
  • A 150 Great Places to Work in Health care nine years in a row by Becker's Hospital Review
  • Military Friendly Employer
  • One of three 2019 Top Healthcare Diversity Organizations in the U.S.
  • Ranked No. 2 on DiversityInc's List of Top Hospitals and Health Systems in America, 2018
  • First member of the Mayo Clinic Care Network in Texas, since 2015

Our Care Commitments

  • Take Care of Patients
  • Take Care of Each Other
  • Take Care of Ourselves
  • Take Care of Methodist

 

Option 2: Create a New Profile