Who We AreJPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performanceoutcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.Why JPS?We're More Than a Hospital. We're 7,200 Of The Most Dedicated People You Could Ever Meet. Our Goal Is To Make Sure The People Of Our Community Get The Care They Need And Deserve. As Community Stewards, We Abide By Three Rules Of The Road
- Own it. Everyone who wears the JPS badge contributes to our journey to excellence.
- Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.
- Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.
When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you!For more information, visit www.jpshealthnet.org .To view all job vacancies, visit www.jpshealthnet.org , www.jpshealthnet.org/careers , or www.teamacclaim.org .#nursingfeaturedjobJob TitleRN Chart AuditorRequisition Number41478Employment TypeFull TimeDivisionACCLAIM ADMIN SERVICESCompensation TypeSalariedJob CategoryPatient Care SupportHours WorkedM-F 8AM-5PM Location: Acclaim MagnoliaShift WorkedDayJob DescriptionJob Summary: The Chart Auditor will be responsible for performing clinical reviews to determine the accuracy of ICD-10 codes listed on forms from payors, performing interactive outreach for the Transition of Care program, pending outstanding patient orders, validating ED high utilization patient attribution, and reviewing gap in care reports to address outstanding patient health risks. This job involves accessing proprietary systems to audit medical records, accurately documenting findings, and providing forms to the clinic providers.Essential Job Functions & Accountabilities
- Reviews and interprets medical records and compares against forms for accuracy of presumed diagnoses.
- Documents decisions and rationale to justify review findings.
- Pend orders to address outstanding patient care gaps.
- Performs interactive outreach for patients discharged from Inpatient stays.
- Assists management with training any new Chart Auditor.
- Maintains current knowledge of clinical criteria guidelines to maintain a clinical license.
- Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.
- Actively cross-trains to perform reviews of multiple payor types and requirements and understand the documentation needs.
- Recommends, tests, and implements process improvements, new audit concepts, and technology improvements that will enhance production, quality, and client satisfaction.
- Reviews payor gap in care reports to validate patient medication adherence compliance.
- Validates and facilitates care management for high ED utilizing patients.
- Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.
QualificationsRequired Qualifications:
- Associate's Degree from an accredited school of professional nursing. OR Medical School graduate.
- If a Registered Nurse, current licensure by the Board of Nurse Examiners for the State of Texas or proof of reciprocity of licensure between the State of Texas and another state. Must be maintained throughout employment.
Preferred Qualifications:
- Bachelor's Degree in Nursing from an accredited school of professional nursing.
- 2 plus years of claims auditing or value-based care work.
Location Address:200 W. MagnoliaFort Worth, Texas, 76104United States