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NURSE AUDITOR - CBO

Company: Methodist Health System Dallas
Location: Dallas
Posted on: September 21, 2018

Job Description:

Your Job: The Nurse Auditor-CBO maintains the integrity of the Charge Description Master and Revenue Integrity programs to ensure compliance with regulations, payer agreements and system policies.Your Job Requirements: Bachelor's degree prefferedRequires Registered Nurse with atleast 3 years experienceEPIC experience preferredYour 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.Who We AreDallas-based Methodist Health System has been recognized by Modern Healthcare as one of the fastest-growing health systems in the U.S. Over the past decade, our nonprofit health system has tripled in size. Ten hospitals proudly carry the Methodist name as part of Methodist Health System or through joint-venture affiliations. Soon our 11th hospital will open in Midlothian. Our wholly owned, full-service facilities and physician organization include Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers; Methodist Campus for Continuing Care; and Methodist Medical Group, the physician organization affiliated with Methodist Health System. We're proud to be the first member of the Mayo Clinic Care Network in Texas, where we collaborate with a national leader in healthcare to improve the delivery of care through shared medical knowledge and research. Professionals thrive at Methodist, which is why we've earned: A Best Place to Work 15 years running by the Dallas Business Journal 150 Great Places to Work in Healthcare by Becker's Hospital Review eight years in a row. In 2018, ranked No. 2 Top Hospitals and Health Systems in America by DiversityInc. Where You Will SHINEMethodist Health System believes its greatest asset is the team members in our organization that values and encourages diversity and inclusion in all aspects of our organization. These are our guiding principles:Mission:To improve and save lives through compassionate quality health care.Vision for the FutureTo be the trusted provider of integrated quality health care in North Texas.Core ValuesMethodist Health System core values reflect our historic commitment to Christian concepts of life and learning:Servant Heart - compassionately putting others firstHospitality - offering a welcoming and caring environmentInnovation - courageous creativity and commitment to qualityNoble - unwavering honesty and integrityEnthusiasm - celebration of individual and team accomplishmentSkillful - dedicated to learning and excellenceWhere You Are ValuedWe know that employees who are happy, healthy, and fulfilled take better care of patients. We also know that caring for our employees as individuals makes us a better organization. Our benefits include:Medical plan choicesPharmacy coverageDental and vision plansAD&D insuranceEmployee assistance programFlexible spending accountPaid time offExtended illness benefitsWellness programWeight management, tobacco cessation, and prenatal programsBasic and volunteer life insuranceShort-term and long-term disabilityRetirement plans with matched contributionsLeave of absenceTuition reimbursementAdoption assistanceEmployee discountsAnd more.

Keywords: Methodist Health System Dallas, Irving , NURSE AUDITOR - CBO, Accounting, Auditing , Dallas, Texas

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