Revenue Capture & Audit Registered Nurse
Advocate Aurora Health
Libertyville, Illinois
Full-Time
$38
RemoteDirector
Department:
Status:
Benefits Eligible:
Hours Per Week:
Schedule Details/Additional Information:
Full Time M-F, 8 hour days with the potential to work remote upon completion of orientation.
Pay Range
$38.20 - $57.30Condell Medical Center
Libertyville, IL
Revenue Capture and Audit Registered Nurse (RN)
Major Responsibilities:
Maintain charge capture for Surginet/Allegra using a working knowledge of Lawson and Surginet systems.
1)Maintain nomenclature for Surginet chargemaster line items.
2)Assist in developing and maintaining all surgical supply charges in coordination with materials manager, revenue compliance and Surginet information systems.
3)Review and approve all requests for Surginet charge master or p-file changes.
4)Provide monthly reports on all issues identified and resolved.
5)Chart auditing for correct documentation and charge entry.
Provide Regulatory and Compliance expertise for Surginet.
1)Maintain appropriate line items revenue codes.
2)Provide research and problem resolution relating to any line items that may have a regulatory or compliance issue.
3)Evaluate, submit and track updated revisions for all charges related to Surginet system.
4)Assist OR Manager, Materials Manager and team leaders with pricing of Surginet line items as well as pricing for any new P-files submitted.
Provide proactive audits of the Surginet system.
1)Complete audits focusing on charge capture and revenue opportunities.
2)Provide annual compliance and line item review of the Surginet system.
3)Coordinate corrective actions as necessary with the OR Managers and team leaders.
4)Provide charge capture activities for optimal compliance and reimbursement.
Special Projects
1)Provide assistance for projects identified as requested by OR Director or Managers regarding Surginet.
2)Educate new staff on Surginet and update and reeducate staff on any new functionality of the Surginet system.
Licensure:
Nurse, Registered (RN)
Education/Experience Required:
Experience with Surginet database. Licensed nurse. 3-5 years of experience working in a hospital surgical setting.
Knowledge, Skills & Abilities Required:
Self-directed, minimal supervision required. Good written and verbal communication skills. Good knowledge of Surginet charge capture. Computer skills, i.e. word, excel and database software.
Current Illinois nursing licensure
Physical Requirements and Working Conditions:
Ability to work under time pressures and meet deadlines. Ability to work independently. Ability to interact with associates at all levels within the organization. Ability to investigate, analyze and correct any charging issues related to the O.R. Must have proven problem-solving abilities and strong analytical skills. Some local travel required. Flexible hours.
If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis.
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This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.