PFS Revenue Integrity Nurse Auditor*

Whether your skills lie in patient care or administration and you prefer to work in not-for-profit health care, CHRISTUS Health facilities may have a career opportunity for you. CHRISTUS Health and our facilities are committed to being an equal opportunity employer as part of our on-going mission. It is the policy of CHRISTUS Health not to discriminate on the basis of race, color, creed, religion, gender, orientation, disability, age or national origin. The Revenue Integrity Nurse Auditor is responsible for reviewing medical records to determine whether documentation substantiates the medical necessity, quality of care, utilization, and coding of insurance claims. This position insures that data collection for reporting purposes from various departments is within charging practices and departmental policies. Duties include reviewing remittance advices for denials and the appeal process, analyzing late charges, performing education and training to clinical departments and finalizing department audit summaries. The Revenue Integrity Nurse Auditor ensures optimal billing methods that meet with billing regulatory and compliance standards. This position also serves as back up to the Revenue Integrity Coordinator for purposes of charge-master compliance. Serves as an integral member to the Regional Revenue Integrity Committee and assists with the direction and facilitation of the group. CHRISTUS Health is committed to providing meaningful benefits for you and your family and to sharing with you the prosperity you help create. We support our health care teams with competitive compensation and an outstanding benefits package.

Medical Health Coverage

Prescription Drug Plan

Dental Coverage

Vision Coverage

Long-Term Disability

Group Term Life

Accidental Death & Dismemberment

• Education/Skills •LVN or RN certification required. •Must have extensive knowledge of Federal, State and local insurance guidelines and rules. •Intermediate to Advanced level knowledge of Microsoft Word, Excel •Ability to work and communicate effectively at all corporate and facility levels •Ability to independently prioritize work activities and to meet deadlines •Strong quantitative and analytical ability •Demonstrate ability to understand and contribute in all areas related to revenue cycle, compliance, and reimbursement. •Excellent interpersonal, problem solving and critical thinking skills.

• Experience •A minimum of 3-5 years in clinical or ancillary departmental experience required in an acute setting. •Strong knowledge of DRG, CPT, CDM and billing operations required. •Overall knowledge of UR and Case Management functions required. •Chart billing and auditing experience required.

• Licenses, Registrations, or Certifications: •LVN or RN