Nurse Reviewer Consultant

All the benefits and perks you need for you and your family:

    Benefits from Day One

    Paid Days Off from Day One

    Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)

* Nursing or BU specific benefits and perks

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time, Hybrid 

Shift: Days

The community you'll be caring for:

• Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando
• We offer great benefits with immediate Health Insurance coverage
• Career growth and advancement potential
• Serves as the major tertiary facility for much of the Southeast, the Caribbean and South America
• AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country
• We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year

The role you'll contribute: 

The Nurse Reviewer Consultant (NRC) is responsible for accurate and compliant charge capture through the evaluation and appropriate maintenance of all ambulatory and acute clinical operational processes. This role ensures all aspects of the charge master for assigned departments that successfully achieves accurate and compliant with clinical guidelines, regulatory and billing requirements. NRC partners, collaborates and oversees department reviews and charge audits by conducting targeted education based on the charge capture needs for the success of the hospital. Oversees and manages exception-based audits, coordinates and manages regular meetings and other interactions with all clinical areas.

The value you'll bring to the team:

• Serves as a consultant/liaison to bridge the gap between clinical areas, finance, and revenue cycle departments. Works pro-actively with administration, finance, revenue cycle, nursing, and ancillary management to assure appropriate clinical business performance.
• Collaborates with the charge auditors regarding service line trends and is responsible for following up with charge auditors when issues or questions arise.
• Manages and performs charge reviews and proactive audits and improves charge capture by collaborating with clinical departments to ensure compliance, efficiency and effectiveness
• Monitors success of performance improvements and escalates issues and risks to the appropriate stakeholders (e.g. Clinical Liaison Manager and Revenue Integrity Director).
• Interacts with internal/external audit teams to review charging practices. Analyzing internal/external trends to determine educational, system, and/or process gaps.

The expertise and experiences you'll need to succeed:

• Bachelor's degree in Nursing,
• Five (5) years' experience in healthcare or related field
• OR Five (5) years clinical experience
• Current Valid State of Florida or multi state license as a Registered Nurse
• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC). (Preferred)