Career Opportunities

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September 26, 2008

Financial Analyst/ Revenue Strategies

There are moments that shape you…that define the lasting impact you will have. Like the moment you decide to join an organization that shares your caring passion and mirrors your values. At Inova Health System, we strive to make every moment count — for our patients and our professionals.

Inova Fairfax Hospital, the 833-bed flagship hospital of Inova Health System in Northern Virginia, is seeking a Financial Analyst in the Revenue Strategies department. Primary responsibilities are maintenance of the Inova Health System Chargemaster and standardization of charge practice. Will also focus on other revenue cycle process assurance, compliance and process improvement. The candidate should have good working knowledge of CPT/HCPCS/ICD-9 codes, be able to research CMS Regulations and have knowledge of Federal and Non-Federal payers. Billing or coding background a plus. Should have good verbal and written communication skills, coding certificate or be close to finishing an approved coding program (CPC, CPC-H, CCS, CCS-P) and experienced user of MS Office, especially Excel.

Please contact: Lisa Livingston
Sr. Employment Specialist
Inova Fairfax Hospital Human Resources
3300 Gallows Road
Falls Church, VA 22042

703-776-8981 (office)
703-776-2268 (fax)
Please apply online at http://www.inova.org/careers.

EOE/ Pre-employment drug screening. Tobacco-free environment.

September 18, 2008

Charge Audit Nurse

Gwinnett Medical Center is redefining excellence and to do it, we need you. For over 20 years, we’ve been located in Northeast Georgia, where more than 4,300 skilled associates call GMC home. We are seeking a Charge Audit Nurse.

As the Charge Audit Nurse, you will be responsible for the overall quality, compliance and completeness of charges captured on patient encounters through detailed audits of patient accounts by comparing the medical records documentation to the charges. This role serves as resource to all revenue cycle team members on an ongoing basis.

Candidates must be a graduate of an accredited school of Nursing and have a current GA RN license. Five years’ experience in the healthcare industry and solid knowledge of multiple reimbursement systems, including PPS, are required.

To apply, please visit http://www.gwinnettmedicalcenter.org. EOE

August 29, 2008

RN / LPN - Nurse Auditors

United Audit Systems, Inc (UASI), a rapidly growing, innovative healthcare consulting firm seeks to expand its professional team of employees. UASI is looking for a full-time Registered Nurse local to Detroit, MI. The ideal candidate will have a combination of current clinical experience in a hospital acute care setting and the willingness to transition to understanding the financial basis of hospitals.

The primary purpose of the Nurse Auditor is to support the hospital in the revenue recovery process. This is accomplished by reviewing hospital itemized bills against the patient's complete medical record to identify errors with the billed services, supplies, medications, etc.

Requirements:

  • Must demonstrate the ability to read a medical chart and hospital itemized bills
  • Understanding of the charges related to various services
  • Strong computer skills
  • Knowledge of hospital patient financial systems is a plus
  • Strong Mathematical abilities
  • Effective communication skills
  • Strong analytical thinking process

UASI's comprehensive benefit package includes:

  • M-F work schedule
  • Health/dental/life/disability
  • 401(k)
  • Paid vacation and holidays
  • Tuition assistance towards courses related to the CMAS (Certified Medical Audit Specialist) certification

Interested candidates should submit resume with salary requirements to:

Human Resources – DET-082008 United Audit Systems, Inc. 360 Gest Street Cincinnati, OH 45203 email: fax: 513-723-0601

EOE/AA

August 27, 2008

RN auditor positions for North Florida and South Texas are available with a national healthcare organization providing hospital bill review and provider network operations business consulting. Home-based office with travel and the stability and growth of full-time employment.

Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

As an RN Auditor, you will provide strategic leadership and consultation services for the Provider Network Operations area:

  • Conduct hospital billing and medical record reviews, be closely involved in selection of audits, and management and analysis of audit processes and results
  • Assist vendors, providers and Humana market offices with questions related to billing for hospital bill audits, specialty audits, Diagnosis-Related Group audits, and Skilled Nursing Facility audits
  • Develop audit tools and conduct reviews at providers’ offices and hospitals
  • Verify the accuracy of diagnosis information submitted on claims/encounters for the purposes of risk adjustment
  • Develop schedules and plans for the coordination and management of resources to establish more efficient business operations
  • This position requires traveling to hospitals/facilities to conduct billing and medical record audits
  • Act as a liaison between multiple business partners to identify and resolve problems and concerns
  • Consult with other business areas to create cost benefit analyses and prioritize current projects
  • Prepare and present recommendations via presentations to both internal and external audiences

Role Essentials:

  • RN licensure
  • 2+ years of chart auditing experience
  • 2+ years of clinical experience
  • Extensive knowledge of multiple types of Current Procedural Terminology and Healthcare Common Procedure coding systems
  • Comprehensive knowledge of Microsoft Word, Excel and Access
  • Bachelors degree or equivalent work experience
  • Must be willing and able to travel up to 80% of the time (mainly local, but some overnight travel)

Please apply online at the Careers section at http://www.humana.com, requisition ID # 27203 (Texas) or # 27202 (Florida).

August 4, 2008

Medical Auditor

At Sierra Providence East Medical Center, part of Sierra Providence Health Network in El Paso, TX, it is our mission to deliver safe, cost-effective care to the patients we serve. In order to provide such care, it is essential that our financial activities are carefully monitored. That’s why we’re seeking a detail-oriented Medical Auditor with solid communication and organizational skills to start a career with us.

As Medical Auditor, you will conduct chart-to-bill audits, ensuring all charges and/or adjustments have been applied to patient accounts. This requires you to relate chart documentation to billing documentation and reconcile over and under charges.

Qualifications include:

  • An Associate of Arts degree
  • Current RN licensure
  • At least 3 years’ clinical experience
  • A least 1 year of utilization review or chart auditing experience
  • 10-key touch calculator proficiency
  • Active Medical Auditors Association membership (local and state)
  • Strong leadership and customer service skills

We offer competitive salaries and a benefits package that includes medical/vision/dental/life insurance, paid time off, 401(k) and much more. For more information or to apply, please visit http://www.sphn.com or contact Veronica Ornelas at or call (915) 832-2192

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