- 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.
- Other
-
Lead Auditor with a focus on Automotive
1 week ago
Titan Industries Bloomfield, United StatesSince 1866, our passion has been technology and safety. Innovations have a diverse impact on our lives. Every day, we strive to ensure the safety of people and society, building trust in new technologies. We are part of progress. We advise, test, and certify. We act with convicti ...
-
Senior Nurse Clinical Auditor Days FT
4 days ago
DMC Children's Hospital of Michigan Detroit, MI, United States$10,000 Signing Bonus with relevant experience · Children's Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children ...
-
Senior Nurse Clinical Auditor Days FT
6 days ago
Tenet Healthcare Detroit, United States Full timeSenior Nurse Clinical Auditor Days FT Description : $10,000 Signing Bonus with relevant experience · Children's Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. ...
-
Senior Nurse Clinical Auditor Days FT
1 week ago
DMC Children's Hospital of Michigan Detroit, MI, United States Full time$10,000 Signing Bonus with relevant experience · Childrens Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children ...
-
Senior Nurse Clinical Auditor Days FT
8 hours ago
Tenet Healthcare Corporation Detroit, MI, United States$10,000 Signing Bonus with relevant experience · Children's Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children ...
-
Payroll Clerk "a"
1 week ago
Tredyffrin/Easttown School District Wayne, United States**Qualifications** · - 3-5 years of experience in accounting or auditing in a business environment, preferably a School District. · - Bachelor's or Associate degree in Accounting or an equivalent Business Field preferred. · - Ability to communicate clearly and concisely. · - Exce ...
-
Finance Director
1 week ago
The Waldorf School of Garden City Garden City, United StatesThe Waldorf School of Garden City seeks a Finance Director. · **About The Waldorf School of Garden City** · The Waldorf School of Garden City (WSGC) is an independent college preparatory day school for children in Pre-Nursery through Twelfth Grade. Established in 1947, the ten-ac ...
-
Exam Assistant
1 week ago
Infinity Enterprises Warren, United StatesWhat to expect · As an audit assistant, you will have the opportunity to gain experience in auditing annual and consolidated financial statements and solvency reports through various mandates in the insurance industry and with changing project teams from A to Z · Handling diverse ...
-
Examination supervisor
1 week ago
Phoenix Industries Pinckney, United StatesAt Mazars, people come together to achieve great things. Growth is our firm course: founded in Europe and at home in the world, we are now present in over 100 countries. Our experts work closely with our clients to sustainably develop their businesses, offering services in auditi ...
-
Vehicle Systems Engineer
1 week ago
Robert Bosch Group Farmington Hills, United StatesRobert Bosch LLC seeks Vehicle Systems Engineer at its facility located at 38000 Hills Tech Dr, Farmington Hills, MI Responsible for defining the requirements at vehicle level and vehicle motion systems (electric powertrain, brake, and driver assistance) for various vehicle class ...
-
Chief Financial Officer
1 week ago
Judson Center Farmington Hills, United StatesJudson Center · Farmington Hills · Salary $130,000 to $150,000 · 401(k) Match · Medical/Dental/Vision · Supplemental Insurances · Vacation/Sick/Holiday Pay · Referral Bonus Program · Pet Insurance · 100% Employer Paid Employer Paid Life Insurance and Long-Term Disability · Pre ...
-
Manufacturing Quality Auditor
17 hours ago
Challenge Mfg. Company Pontiac, United StatesWho We Are: · Challenge's mission is to manufacture with operational excellence by empowering our employee-owners. As a leading tier 1 supplier of complex metal assemblies for the global automotive industry, we drive innovative solutions for future mobility. We believe the best i ...
-
Quality Auditor
8 hours ago
Challenge Mfg. Company Pontiac, MI, United StatesChallenge is a leading employee-owned tier 1 supplier of complex metal assemblies for the global automotive industry. Challenge fosters a culture of collaboration, diversity, and innovation. Our team members take pride in the work we do every day and they are the true driving for ...
-
Manufacturing Quality Auditor
8 hours ago
Challenge Mfg. Company Pontiac, MI, United StatesWho We Are: Challenge is a leading employee-owned tier 1 supplier of complex metal assemblies for the global automotive industry. Challenge fosters a culture of collaboration, diversity, and innovation. We believe the best ideas come from individual unique perspectives. These id ...
-
Accounting Manager
1 week ago
Leap Brands Bloomfield Hills, United StatesPosition Overview:As the Accounting Manager you will play a crucial role in overseeing financial functions, ensuring compliance, and driving financial efficiency across our multi-state operations. This role requires a seasoned accounting professional with a track record of succes ...
-
Vehicle Systems Engineer
1 week ago
Bosch USA Farmington, United States**Company Description** · **Job Description** · **Company Website** · Robert Bosch LLC seeks Vehicle Systems Engineer at its facility located at 38000 Hills Tech Dr, Farmington Hills, MI Responsible for defining the requirements at vehicle level and vehicle motion systems (ele ...
-
Senior Audit Accountant
5 days ago
EOS Accountants LLP Novi, United StatesJob Description · Job DescriptionAudit Senior Remote/Hybrid Options · Full-Time (40hrs) / Exempt · Position Description: · The role of Audit Senior is to be responsible for providing audit and other assurance services, and accounting consulting services to our clients. Seniors ar ...
-
Audit Manager, Global Trade Compliance
2 weeks ago
HARMAN Novi, United StatesA Career at HARMANAs a technology leader that is rapidly on the move, HARMAN is filled with people who are focused on making life better. Innovation, inclusivity and teamwork are a part of our DNA. When you add that to the challenges we take on and solve together, you'll discover ...
-
Front Office Manager
6 days ago
Sheraton Detroit Novi Hotel Novi, United States Full time$500 Sign On Bonus · Free meals, parking and world-wide travel benefits · Job Summary · TheFront Office Manageris fully responsible for all aspects of the Front Desk, coordinates the Front Office activities of the Hotel and resolves problems arising from guest complaints, reserva ...
-
Real Estate Appraiser Aide
1 week ago
Oakland County, MI Waterford, United StatesSalary: $40, $53,695.98 Annually · Location : Pontiac, MI · Job Type: Full Time · Job Number: · Department: Equalization · Opening Date: 02/29/2024 · Closing Date: Continuous · Announcement Information · This opportunity is in the Real Property unit. Opportunities for adva ...
Senior Nurse Clinical Auditor Days FT - West bloomfield, United States - DMC Children's Hospital of Michigan
Description
$10,000 Signing Bonus with relevant experience
Childrens Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children provides advanced diagnostic services including Positron Emission Tomography (PET) and MRI. The Childrens Hospital of Michigan Emergency Department is a verified Level 1 Pediatric Trauma Center and dedicated pediatric burn center. Experts in pediatric critical care, rehabilitation, and neonatal and perinatal medicine provide care for thousands of children every year at Childrens Hospital of Michigan, Childrens Hospital of Michigan - Troy and six ambulatory sites.
Job Summary
Under limited direction and according to established policies and procedures conducts audits of hospital bills and medical records.
1.Bachelors 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.
Job: CompliancePrimary Location: Detroit, MichiganFacility: DMC Children's Hospital of MichiganJob Type: Full TimeShift Type: DaysShift Begin: 8:00 AMShift End: 5:00 PMEmployment practices will not be influenced or affected by an applicants or employees 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.