Nurse Audit Manager
Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
The Nurse Audit Manager is responsible for the daily operation and the performance & effectiveness of Nurse Audit staff. The Manager will be responsible for implementing short- and long-term plans and objectives to prevent revenue loss and to engage in continuous quality improvement of charge capture practices and to ensure compliance. The manager is responsible for the oversight and execution of the NA audit workplan for all Ensemble clients and for creating and monitoring team productivity and quality standards. Manager will develop and maintain department policies and procedures and oversee the SMART program. The Manager will empower staff to develop methods of process improvement, including planning, setting priorities, conducting systematic performance assessments, implementing improvements based on those assessments and maintaining achieved improvements. Manager coordinates team work and travel schedules to ensure deadlines are met.
Essential Job Functions
Manages all charge audits and assessment activities performed by staff for Ensemble clients. Staff responsibilities include conducting charge audits and completing assessments for potential clients, reviewing I&I WQs, traveling to client sites to provide education and training related to findings, and identify opportunities to prevent revenue loss, and educate clients on sound charge capture practices. Travel to clients’ sites as needed to help clients meet their financial goals. Responsible for interviewing, hiring, staffing allocation, performance management, and development of staff. Counsels and disciplines staff when necessary in accordance with department and/or organizational policies. Develops, updates and implements job standards, job duties, departmental policies and performance appraisals for all areas of responsibility. Prepares monthly reports as requested. Establishes team/departmental goals with the staff to optimize performance and meet goals while improving operations to increase customer satisfaction and meet financial goals of the organization. Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals. Works with internal and external customers to make key decisions, impacting either the organization as a whole or individual clients. Assists in strategic planning and performs ongoing process improvement evaluation. Reviews, updates and implements policies and procedures to support the vision and goals. Performs other duties as assigned
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.
Employment Qualifications
Required Minimum Education: 4 year/ Bachelors Degree; Specialty/Major: Business or relevant discipline
Preferred Education: 4 year/ Bachelors Degree; Specialty/Major: RN, Business or relevant discipline
Licensing/ Certification Required: RN, LVN, LPN, or equivalent
Licensure/Certification Preferred: CCDI, RHIA, RHIT, COC, PMP, CPMA or equivalent
Minimum Years and Type of Experience: Five or more years of experience in revenue integrity and/or revenue cycle operations. management experience in healthcare industry. Management experience preferred
Other Knowledge, Skills and Abilities Required: Working knowledge of CPT/HCPCS/Revenue codes, charge capture and billing best practices, and government and non-government reimbursement guidelines. Excellent project management, analytical, interpersonal, oral & written communication skills. Strong leadership, mentoring, and training skills. Strong organization skills. Highly motivated and self-starter with
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.