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Clinical Auditor
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Tenet Healthcare
Detroit, MI (In Person)
Full-Time
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Job Description
Clinical Auditor
EEO StatementEmployment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
- 2606001999
Description :
DMC Sinai-Grace Hospital is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.Benefit Statement:
At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job- we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off (PTO
- Career development and continuing education opportunities
- Health savings accounts, healthcare C dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder C childcare, auto C home insurance.
Note:
Eligibility for benefits may vary by location and is determined by employment statusJob SummaryUnder limited direction and according to established policies and procedures conducts audits of hospital bills and medical records. Ensures documented charges are correctly billed and billed charges are documented in the medical record. Corrects billing errors in the Patient Accounting system and in some cases, the Cerner system. Identifies, reports and recommends actions to improve charge capture processes. Identifies new services and technology in the clinical setting and facilitates establishment of new charges. Conducts in-service training for hospital personnel to ensure understanding of the importance of effective charge capture and documentation of services performed. Conducts complex reviews of departmental processes which include registration, clinical activities, documentation and charge capture. Identifies opportunities to maximize billing in accordance with federal and state regulations. Safeguards the assets of the DMC, advocates appropriate levels of internal control and promotes operating effectiveness and efficiency. Defend the hospitals revenue through research, documentation and negotiation by participating in and acting as a content expert for the hospital in audits conducted by third parties including, but not limited to, Blue Cross Catastrophic audits; HOPP audits; MPRO audits and all commercial insurance audits. Provides both clinical and technical/billing expertise and acts as liaison and resource for user departments. Analyzes results, identifies trends and patterns and prepares monthly statistical and narrative reports for various levels of hospital and corporate management. [BRASSRING IMPORT 11/11/16
]Qualifications :
Minimum Qualifications1.Bachelor's Degree in Nursing. 2.Licensed Registered Nurse in the State of Michigan. 3. Three years of patient care experience in a hospital as a Registered Nurse, at least one of which should be in a critical patient care specialty area such as I.C.U., E.R. or O.R. 4.Charge audit or similar experience preferred. 5. One year experience as a Clinical Auditor. Facility Description DMC Sinai-Grace Hospital is DMC's largest hospital, offering a comprehensive heart center, cancer care, gerontology, emergency medicine, obstetrics/gynecology and cosmetic services. Sinai-Grace's joint replacement program features a revolutionary minimally invasive knee and hip replacement surgery that attracts patients from all over the country. Sinai-Grace operates more than 21 outpatient care sites and ambulatory surgery centers throughout Wayne and Oakland Counties and is one of 10 hospitals in the nation to be awarded a Robert Wood Johnson Foundation grant to help set the standards of cardiac care for hospitals and physicians throughout the nation.EEO StatementEmployment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify:
Online:
https://nlx.jobsyn.org/1aae3b21108e4708a2402f406c5fa653151 How toApply Apply Now Organization Profile Employer Name:
Direct Employers Address:
9002 N. Purdue Rd. Address Line 2: Suite 100City:
Indianapolis State/Province/Region:
Indiana Zip/Postal Code:
46268Description:
DirectEmployers Association is a nonprofit HR consortium of leading global employers formed to improve labor market efficiency through the sharing of best practices, research and the development of technology. In accordance with its Corporate By-Laws, the business and affairs of the Association are managed by a Board of Directors consisting of member company representatives. Daily operations are managed by an Executive Director and operations staff at the direction of the President and Board of Directors. Officers are elected and goals and objectives are determined by member employers at DirectEmployers Association's annual meeting scheduled in the fourth quarter of each year. Job Summary Organization Tenet Healthcare Employer Website Location Detroit, MI 48208 Job Code Number 390466192 Positions Available 1 Expiration Date 7/24/2026 O- NET Code 29-2071.00 O
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