Clinical Auditor - Revenue Integrity - Full Time - Days - Penrose

Location
Colorado Springs, CO
Salary
Competitive
Posted
Sep 12, 2017
Closes
Oct 12, 2017
Contract Type
Permanent
Hours
Full Time
Penrose-St. Francis Health Services is a full-service, 522-bed acute care provider in Colorado Springs comprised of Penrose Hospital and St. Francis Medical Center. Penrose Hospital serves as the anchor hospital of Penrose-St. Francis Health Services with 364-licensed beds and the ability to provide tertiary (high tech) medical-surgical services with an emphasis on elective and outpatient care. Established in 1890, Penrose Hospital has grown to become a major health treatment and referral center, specializing in cancer care, cardiac care, emergency trauma care and physical rehabilitation. In 2008 we opened St. Francis Medical Center to keep pace with the growing needs of the Colorado Springs’ community on the north side of the city. St. Francis Medical Center features 172-beds and offers a modern Birth Center, Level IIIA Neonatal Intensive Care Unit, Pediatric Care Unit, Emergency Department, Level III Trauma Center, Imaging Services, Surgical Services, and Critical Care Unit. It is also serves as Southern Colorado’s home base for the Flight For Life® Colorado air medical helicopter service. It’s an incredible time to join us as we celebrate our sixth consecutive year as one of “America’s 50 Best Hospitals” by Healthgrades and recent Magnet Hospital designation from the American Nurses Credentialing Center (ANCC) for superior quality in nursing care. With 300+ days of annual sunshine, mild winters and easy access places like Pikes Peak, Garden of the Gods and some of Colorado’s top destination resorts, you will enjoy an incredible lifestyle while having the career you’ve always wanted. For more information about Penrose – St. Francis Health Services, visit http://www.penrosestfrancis.org/.

Job Description/Job Posting ID: 113346

Recruiter Contact:

Clinic/Department: 8740 PSF REVENUE INTEGRITY 

Hospital: PENROSE HOSPITAL 

Schedule:

Shift:

Position Summary

Performs clinical and operational audits as a means of verifying accuracy of information and compliance to established policies, practices and regulations. Coordinates annual review of charge description master with operational management and maintains the cost information line. Responsible for coordinating monthly quality review meetings of the care process (from physician order, registration, health services, chart documentation, and billing to reimbursement) with operational representatives and serving as the gatekeeper to refer clinical audits to third party contractor. Responsible for coordinating billing office error reports and seeking resolution with operational management.

 

Minimum Education Requirements

High School Diploma or GED required Bachelors Degree/BSN preferred

 

Minimum Experience Requirements

5 years in direct patient care in a hospital setting RN highly preferred; technical skills and weight and breadth of medical experience may substitute

 

License/Certifications

RN or other Healthcare related License/Certification

 

Physical Requirements

☑ Sedentary Work - prolonged periods of sitting and exert/lift up to 10 lbs. force occasionally)

 

Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.