Clinical Nurse Auditor Lead

CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen—both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life Colorado^TM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve.

CommonSpirit Health is one of the nation’s largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way.

You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.

The Revenue Integrity Clinical Nurse Auditor Lead is responsible for cultivating strong partnerships with team members both within the department and across all departments that we service at the facilities. Assists in creating and maintaining workflow efficiencies in the department by prioritizing and assigning work to a team of nurse auditors. Tracks and reviews all audit requests to include Patient requested, Third Party, RAC, and any other government audits. Ensures entry intocomply track and acts as liaison between Corporate RI and Corporate Responsibility/Compliance. Tracks and reviews error trends to be used in training and development. Manages team projects to keep on track and meet deadlines. The Lead is also responsible for training of associates on specific processes and procedures, in include individual and group training when necessary.

This is a remote position, Monday - Friday. 

In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:

• 5 years experience working with databases, spreadsheets and reporting
• 5 years experience in acute care or physician office charge capture/audit setting, preferred
• Knowledge and understanding of HCPC/CPT-4 and compliance related to these codes
• Proven excellent organizational, communication and problem solving skills
• High school diploma or GED required
• Bachelor's Degree in Nursing required
• Bachelor's Degree in Business/Finance, IT or Accounting, preferred
• CCA certification; Revenue Integrity/Revenue Management/Coding/Audit certification(s), preferred

Sedentary work -(prolonged periods of sitting and exert up to10lbs force occasionally)

We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness. 

We believe investing in our employees lets them know they truly matter. Your Total Rewards package includes compensation, benefits, retirement, wellness, leave, and other programs. Designed with your well-being in mind, we offer: 

• Several Medical, Dental, & Vision options.
• Spending Accounts including a Dependent Care FSA that can include an employer contribution
• Retirement account options with a generous employer match
• Tuition Reimbursement
• Student Loan Forgiveness, and so much more!

View more on our benefits HERE.

$36.22 - $57.78 / hour