RN Nurse Auditor-Patient Financial Services

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RN Nurse Auditor-Patient Financial Services

Enjoy a Sign-on Bonus*

• Terms & conditions apply.

Category

Registered Nursing

Schedule

Full Time

Job Number

R0276438

Shift

Day

Location

Rancho Mirage, CA 92270

Hours

8 Hour Shift*

Department

Patient Financial Services

Salary Range

$48.09-$78.18 / hour

• For 10 hour and 12 hour shifts this is the average hourly rate which includes overtime when a non-exempt employee works over 8 hours.

Current employees must apply through Workday via the Jobs Hub

Apply Now

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Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.

• Qualifications
• Job Objective
• Responsibilities
• Essential Skills

Job Description:

Education:

Required: Bachelor's degree in Nursing or Master's degree in Nursing or enrollment in an RN-Bachelor's degree in Nursing or RN-Master's degree in Nursing program within 1 year of hire and completion within 5 years of hire if hired after July 1, 2012

Licensure/Certification:

Required: California RN Licensure

Experience:

Required: Experienced Medical Auditor Knowledge of Medical Records and coding

Preferred: Prior Customer Service

Job Objective:

Responsible for concurrent audits of Medical Record Chart for verification of consistent demographic data and completeness of clinical documentation Responsible for pre-auditing medical records for all accounts scheduled for audits by insurance companies, external audit agencies and/or patient requested audits. Responsible for instituting and leading Process Improvement Teams to record, quantify and correct deficiencies. Represents PFS to share audit finding with exiting Hospital Chart Audit Committee and Hospital Compliance Officer and Committee.

Essential Responsibilities:

• Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations. Coordinates medical record audit scheduling with external auditors, medical records and ancillary departments when necessary Meets with external auditors during schedule audits and assists as needed Conducts exit conference with external auditors
• Reports to Compliance Officer and Compliance Committee any patterns seen relative to poor documentation or charting.
• Reports any charging issues that do not conform to current Federal Regulations governing billable/non-billable charges
• Prepares reports on Monthly basis showing: Total Patient/defense and concurrent audits for month with: Total gross charges, over charges/under charges by department, defense results, and final determination, Summary of deficiencies found in medical record charts to include the following: Itemization of issue Current status on correction activities, Attends available seminars pertaining to compliance Issues and guidelines, Medical and Billable Coding and Medical Record Charting
• Provides positive indication that teamwork is a major and important focus of all Eisenhower Medical Center employees.
• Conducts periodic in-service classes for ancillary departments instructing the staff on charge/chart review
• Conducts periodic in-service classes for Patient Financial Services department instructing the staff on common medical terms and errors in charging.
• Performs other job related duties as requested by Supervisor
• Attends staff meeting, in-house training and attends classes pertaining to Federal and State billing regulations as well as Compliance Issues and Guidelines when requested

Essential Skils:

• Effective computer knowledge of MS Word, Excel and database applications
• Familiar with billing and medical records compliance issues as mandated through Federal regulations
• Experience with Hospital cost center charging practices, knowledge of hospital billing and database systems
• Proficient understanding of medical terminology, managed care terminology, and CPT/ICD9 coding
• Excellent verbal and written communication skills; ability to make executive presentations
• Must understand commercial and managed care patient accounting principals

Apply Now

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Eisenhower Health offers a generous benefits package and a matched retirement plan.

Employees are eligible to participate in a benefits program designed to make a difference for you and your family.

View Full Benefits

Connect with Our Recruitment Team

Meet Kaitlin, RN & Erika RN, BSN, our Nurse Recruiters at the following events and learn about Sign-on Bonuses, Relocation Assistance, and an amazing benefits package at Eisenhower Health.

CNEI-Career Fair for LVN Graduates

Rancho Mirage, CA - 07/21/26

Booth #N/A

NBNA Conference

St Louis, MO - 07/28 - 08/2/26

Booth #N/A

Go to the event site

Magnet & Pathway 2026 Conference

Chicago, IL - 10/29 - 10/31/26

Booth #1853

Go to the event site

Academy of Medical-Surgical Nurses

Palm Springs, CA - 09/24 - 09/26/26

Booth #N/A

Fantasy Springs Resort Casino - Special Events Center (WorkForce)

Indio, CA - 09/30/26

Booth #N/A

Emergency Nursing Association (ENA)

Phoenix, AZ - 09/28 - 10/1/26

Booth #N/A

Go to the event site

Palm Desert Campus Graduate School Fair-CSUSB

Palm Desert, CA - 10/22/26

Booth #N/A

Go to the event site

California Nursing Students Association (CNSA)

Santa Clara, CA - 11/6 - 11/7/26

Booth #N/A

Go to the event site

California Association Nurse Practitioners

Anaheim, CA - 03/16 - 03/18/27

Booth #N/A

Go to the event site

National Student Nurses Association (NSNA)

Lake Buena Vista,FL - 03/31 - 04/3/27

Booth #N/A

Go to the event site

AORN

Philadelphia, PA - 04/10 - 04/13/27

Booth #234

Go to the event site

Oncology Nursing Society (ONS)

Washington, DC - 04/14 - 04/18/27

Booth #N/A

Go to the event site

Society of Pediatric Nurses (SPN)

San Diego, CA - 04/22 - 04/24/27

Booth #N/A

Go to the event site

American Association of Critical Nurses (AACN/NTI)

Indianapolis, IN - 05/3 - 05/5/27

Booth #N/A

Go to the event site

American Association of Nurse Practitioners (AANP)

New Orleans, LA - 06/15 - 06/19/27

Booth #303

Go to the event site

Association of Women's Health, Obstetric & Neonatal Nurses (AWHONN)

Nashville, TN - 06/19 - 06/23/27

Booth #N/A

Go to the event site

A Culture of Positivity and Support

From the beginning, this organization formed a culture based on strong values, commitments and a passion for service and professional excellence.

What Our Nurses Say

One of my very favorite things about working at Eisenhower Health is the culture on inclusivity that we have and a strong base for evidence-based practice.

Lori

Neonatal Nurse

One of the greatest things about working as a nurse at Eisenhower Health is how much support you get from Administration. We keep on improving the process here. It's a fantastic place to work.

Richard

Nursing Supervisor

My favorite thing about working at Eisenhower Health is the camaraderie within my unit and with the different departments.

Jennifer

Registered Nurse

Be a Part of an Award-Winning Team

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Eisenhower Health

39000 Bob Hope Drive,

Rancho Mirage, CA 92270

(760) 837-8500

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