Project Audit RN
Full Time, Remote
WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to ” target=”_blank”>Learn more about these and other UTSW employee benefits!
EXPERIENCE AND EDUCATION
Required
- Education
Graduate of an accredited nursing program.
- Experience
5 years of clinical experience as a RN including
2 years performing utilization review, charge audit, case management or denial/appeal functions in an acute care hospital.
Principles of Managed Care, Medicare/Medicaid reimbursement.
- Licenses and Certifications
(RN) REGISTERED NURSE Upon Hire
Preferred
- Experience:
At least 2 years of experience in project management, project coordination, or production coordination within a healthcare or revenue cycle environment
- License and Certifications
Lean Six Sigma certification (Yellow Belt or higher preferred)
Revenue Integrity certification, coding credential (CPC, CCS), or audit certification preferred
JOB DUTIES
- Perform project management activities in accordance with established project management principles, including executing assigned tasks outlined in approved project plans
- Support project execution through basic process analysis, task coordination, and issue tracking
- Assist Project Manager(s) in completing projects within defined scope, timeline, and objectives
- Conduct post‑project reviews and prepare recommendations to identify successful outcomes, gaps, and opportunities for improvement
- Build, maintain, and strengthen relationships essential to successful project outcomes
- Collaborate with internal partners including Health Information Management, clinical nursing units, physicians, clinical informatics, and other departments to obtain information, resolve errors, and address audit trends
- Create, maintain, and organize comprehensive project documentation, including plans, status updates, and supporting materials
- Develop professional correspondence and provide administrative and editorial support for special projects, including presentations, meetings, and conferences; conduct internet and background research as needed
- Conduct clinical and billing audits by comparing medical record documentation to charges billed to identify potential under‑charges, over‑charges, or billing errors
- Document audit findings, post account corrections when appropriate, and communicate results to impacted departments
- Assist departments with charge reconciliation processes and provide timely education related to documentation, charging accuracy, and process improvement
- Perform other duties as assigned
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.