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Clinical Auditor RN - Hybrid

Job Overview

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Employment Type

Full-time
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Compensation

Type:
Salary
Rate:
Range $70,300.00 - $103,400.00
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Benefits

Eligibility on day 1 for all benefits
Dollar-for-dollar 401(k) match up to 5%
Debt-free tuition assistance
Immediate Access to Paid Time Off
Health Insurance
Dental Insurance
Vision Insurance

Job Description

Baylor Scott & White Health is the largest not-for-profit healthcare system in Texas, dedicated to promoting the health and well-being of individuals, families, and communities. The organization operates a vast network of hospitals, outpatient centers, and healthcare facilities, providing comprehensive medical services across the state. Known for its commitment to innovation, quality patient care, and community service, Baylor Scott & White is guided by core values that emphasize faithfulness, joy, continuous improvement, teamwork, and impactful service. These values foster an environment where employees are encouraged to do what is right, strive for excellence, support one another, and make a positive... Show More

Job Requirements

  • Bachelor's degree preferred
  • Valid Registered Nurse License
  • Minimum two years of relevant nursing experience
  • Residency within Baylor Scott & White service area, ideally Dallas-Fort Worth Metroplex
  • Strong analytical and problem-solving skills
  • Excellent verbal and written communication
  • Proficiency with Microsoft Office applications
  • Ability to work independently and collaboratively
  • Commitment to continued learning and professional development

Job Qualifications

  • Bachelor's degree or four years of work experience
  • At least two years of relevant work experience
  • Registered Nurse License
  • Experience in acute care hospital and/or outpatient clinic settings
  • Strong knowledge of nursing/medicine specialties and hospital workflows
  • Proficient in Microsoft Office Suite including Excel, Word, PowerPoint, and Outlook
  • Excellent communication skills
  • Ability to work independently and in a team
  • Detail-oriented and organized approach to complex tasks

Job Duties

  • Manage planning, organizing, and executing audit tasks in clinical departments/functions
  • Evaluate clinical documentation for compliance with federal, state, and third-party regulations
  • Identify opportunities to enhance performance and provide counsel to Revenue Integrity team and clinical departments/functions
  • Document and track audit findings for account corrections and issue identification and mitigation
  • Summarize audit results clearly and concisely
  • Propose actions to improve internal controls and boost operational efficiency
  • Provide training and education related to clinical audit processes as necessary

Job Location

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