Senior Auditor, Nursing
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Job Description
Senior nursing auditor leading complex healthcare revenue cycle audits for Ensemble. Reviewing high-risk claims, mentoring auditors, and improving compliance and revenue cycle performance.
Responsibilities:
- Lead audits of complex cases and high-risk claims
- Review escalated audit findings and provide expert guidance
- Mentor and train junior nursing auditors
- Collaborate with compliance and revenue cycle leadership on audit strategies
- Prepare comprehensive reports and present findings to senior management
- Identify trends and recommend process improvements to reduce risk
- Enhance revenue cycle performance by identifying systemic issues and recommending improvements
- Ensure compliance with clinical and financial standards
Requirements:
- Must reside and be authorized to work within the United States
- Applications generated from outside the United States will not be considered
- Nursing auditing experience and clinical knowledge are required for the role
- Ability to lead complex audits and high-risk claim reviews
- Ability to review escalated audit findings and provide expert guidance
- Ability to mentor and train junior nursing auditors
- Ability to collaborate with compliance and revenue cycle leadership
- Ability to prepare comprehensive reports and present findings to senior management
- Ability to identify trends and recommend process improvements
Benefits:
- Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
- Professional certification relevant to the associate’s field
- Tuition reimbursement
- Quarterly and annual incentive programs for employees who go beyond expectations
- Remote work arrangement
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