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RN Nurse Auditor
Ochsner Health. Perform proactive/prospective audits, retrospective/defense audits, and targeted and ad hoc charge capture audits .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting various types of audits, providing consultation on medical documentation, and ensuring compliance with healthcare regulations. Proficient in communication and conflict resolution, with a strong focus on training and collaboration within clinical settings.
Highest-signal resume keywords
Registered Nurse (RN) LicenseHealthcare AuditingCompliance KnowledgeEffective Communication SkillsConflict Resolution Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Proactive AuditsRetrospective AuditsCharge Capture AuditsMedical Documentation ConsultationAction Plan PreparationAudit ReportingRevenue Cycle CompetencyRegulatory CompliancePre-Bill and Post-Bill Edit ResolutionInternal Training
Soft Skills
Effective Verbal CommunicationEffective Written CommunicationPresentation SkillsFlexibilityCollaboration
Tools & Technologies
ComputersSoftware ApplicationsWeb-Based Applications
Certifications & Qualifications
Registered Nurse (RN) License
Industry Keywords
HealthcareAccreditation StandardsRegulatory RequirementsClinical PersonnelChart Audit Committee
About the role
Key responsibilities & impact- Perform proactive/prospective audits, retrospective/defense audits, and targeted and ad hoc charge capture audits
- Work with clinical personnel during audits
- Schedule audits, prepare action plans, and report during the Chart Audit Committee
- Advise and provide expert consultation to clinical departments on charges and medical documentation
- Assist with special projects and conduct internal training on revenue cycle competency and compliance
- Perform defensive and charge capture auditing functions
- Handle all aspects of the Chart Audit Committee
- Communicate audit results with applicable stakeholders
- Resolve assigned pre-bill and post-bill edit questions
- Remain knowledgeable about applicable laws, accreditation standards, and regulatory requirements
- Ensure compliance with applicable laws, regulations, and standards
- Perform other related duties as required
Requirements
What you’ll need- Graduate of an accredited school of nursing
- Current registered nurse (RN) license in state of practice
- 5 years of related healthcare experience, OR 3 years of related healthcare experience with a master's degree
- Proficiency in using computers, software, and web-based applications
- Effective verbal and written communication skills
- Strong conflict resolution skills
- Strong presentation skills
- Ability to work a flexible work schedule, including 24/7, weekends, holidays, and on-call availability
- Ability to travel throughout and between facilities
Benefits
Comp & perks- Equal Opportunity Employer
- Reasonable accommodations for qualified individuals with disabilities
- Compliance & Privacy Program and Standards of Conduct