Senior Nurse Clinical Auditor Days FT
Company: DMC Children's Hospital of Michigan
Posted on: February 9, 2024
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 provides advanced
diagnostic services including Positron Emission Tomography (PET)
and MRI. The Children's 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 Children's Hospital of
Michigan, Children's Hospital of Michigan - Troy and six ambulatory
Under limited direction and according to established policies and
procedures conducts audits of hospital bills and medical
- 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
- 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
- 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.
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.
Primary Location: Detroit, Michigan
Facility: DMC Children's Hospital of Michigan
Job Type: Full-time
Shift Type: Days
Shift Begin: 8:00 AM Shift End: 5:00 PM
Employment 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.
Keywords: DMC Children's Hospital of Michigan, Detroit , Senior Nurse Clinical Auditor Days FT, Accounting, Auditing , Detroit, Michigan
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