RN Nurse Auditor - Telecommute in IN or
Ensemble Health Partners
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. Customer Obsession: Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
The Opportunity: The Nurse Auditor reviews medical records to ensure accuracy, compliance, and appropriate billing within the revenue cycle. The role supports financial integrity by validating clinical documentation against coding and reimbursement guidelines.
Reviews patient charts and medical records for accuracy and completeness.
Validates clinical documentation against coding and billing requirements.
Identifies discrepancies in medical necessity, documentation, or coding.
Prepares audit findings and communicates results to providers and revenue cycle staff.
Collaborates with clinical and billing teams to resolve identified issues.
Ensures compliance with payer requirements and regulatory standards.
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact View email address on click.appcast.io equity;
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