Internal Nurse Auditor - The University of Chicago Medicine

Join UChicago Medicine as a Internal Nurse Auditor in our Revenue Integrity department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area.

Under general direction, the Internal Nurse Auditor reviews patient charge statements and identifies services performed but not properly captured on the patient's bill as well as defends properly documented and delivered services which are being challenged by their party payors or their agents. Contacts departments and outside parties to gather documentation related to patient charges and services.

Essential Job Functions:

• Reviews patient charge statements and identifies services performed but not properly captured on the patient's bill as well as defends properly documented and delivered services which are being challenged by their party payors or their agents.
• Performs data analysis and verifies information to ensure records are accurate, and provides reports on findings to management.
• Provides recommendations for correcting unsatisfactory conditions, improving procedures, and reducing costs.
• Utilizes computer systems to evaluate data, and substantiates the validity of reported information.
• Researches and clarifies issues related to patient charge statement and contacts departments/third party payors to resolve issues. .
• Assists management in establishing and implementing policies and procedures for internal controls to ensure compliance with regulations.

Required Qualifications: 

• B.S.N. degree
• RN license
• 1-2 years of auditing medical records/medical claims experience.
• Excellent communication and writing skills, ability to work effectively on multiple projects simultaneously, problem solving ability, and team player.
• Excellent mathematical skills, proficient in Microsoft Office applications, and applicable computer systems. Ability to serve as a resource for staff and/or temporary workers in the department.

Preferred Qualifications: 

• Prior Nurse Auditor experience preferred

Position Details:

• Job Type/FTE: Full Time (1.0FTE)
• Shift: Days 
• Unit/Department: Revenue Cycle - Revenue  Integrity  
• Location: Hyde Park (UChicago Main Campus) when required to come onsite
• CBA Code: Non-Union

We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.

UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities.

UChicago Medicine is an equal opportunity employer.  We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.

Must comply with UChicago Medicine’s COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide proof as part of the pre-employment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly, a pre-employment physical, drug screening, and background check are also required for all employees prior to hire.