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Commission Rn Chart Auditor Jobs in Oregon (NOW HIRING)

Adventist Health

Chart Auditor (Portland)

Portland, OR · On-site

Adventist Health Portland is looking for Chart Auditor for Full-time, Day Shift. We are looking for ... Registered Nurse (RN) or Medical license MD (MD) or Foreign Medical Doctor (FMD): Required ...

Adventist Health

Chart Auditor (Portland)

Portland, OR · On-site

$52.55 - $78.77/hr

Adventist Health Portland is looking for Chart Auditor for Full-time, Day Shift. We are looking for ... Registered Nurse (RN) or Medical license MD (MD) or Foreign Medical Doctor (FMD): Required ...

Partners In Care

Night Hospice RN-Field

Bend, OR

Summary/Objective: The Night RN Support provides comprehensive hospice care across multiple ... Secondary Responsibilities-Hospice House Support and Chart Auditing: * Relief coverage for Hospice ...

Partners In Care

Night Hospice RN-Field

Bend, OR · On-site

$42 - $60.53/hr

When not actively responding to field calls, the RN will provide meal and rest break coverage, as ... Secondary Responsibilities-Hospice House Support and Chart Auditing: * Relief coverage for Hospice ...

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Commission Rn Chart Auditor information

What is the difference between Commission Rn Chart Auditor vs Medical Records Reviewer?

AspectCommission Rn Chart AuditorMedical Records Reviewer
CredentialsRN license, auditing certificationsMedical background, certifications vary
Work EnvironmentHealthcare facilities, insurance companiesHospitals, clinics, insurance companies
Primary FocusAuditing clinical charts for compliance and accuracyReviewing medical records for completeness and correctness
Industry UsageHealthcare, insurance, billingHealthcare, legal, insurance

The main difference is that a Commission Rn Chart Auditor specializes in auditing clinical charts for compliance and accuracy, often with nursing credentials and specific auditing certifications. In contrast, a Medical Records Reviewer focuses on reviewing medical records for completeness and correctness, which may not require nursing licensure. Both roles are vital in healthcare and insurance industries but serve different functions related to record accuracy and compliance.

What cities in Oregon are hiring for Commission Rn Chart Auditor jobs? Cities in Oregon with the most Commission Rn Chart Auditor job openings:
Commission Rn Chart Auditor jobs near you
Chart Auditor (Portland)

Chart Auditor (Portland)

Adventist Health

Portland, OR • On-site

Full-time

Posted 5 days ago

Adventist Health rating

7.8

Company rating: 7.8 out of 10

Based on 237 frontline employees who took The Breakroom Quiz

101st of 864 rated healthcare providers

Job description

Job Description
Adventist Health Portland is looking for Chart Auditor for Full-time, Day Shift. We are looking for great individual who can work onsite to our location in Portland, OR
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Supports the Revenue Management Department by auditing medical records and clinical documentation to ensure proper patient status placement, accurate coding, and defensible payer billing. Focuses on clinical denials, observation services, documentation gaps, and payer requirements for authorization and coverage. Collaborates with Case Management, Utilization Management, Coding, Medical Officer, and Physician Advisors to reduce clinical denials, improve documentation quality, and ensure compliance with regulatory and payer standards. Provides analytic reports and feedback to identify systemic trends and educational opportunities.
Job Requirements:
Education and Work Experience:
  • Associate's degree in Nursing or related clinical field: Required
  • Bachelor's Degree in Nursing (BSN) or Healthcare Administration: Preferred
  • Prior experience in utilization review, case management, coding, or clinical auditing: Preferred
Licenses/Certifications:
  • Current licensed RN in the state of practice (RN), medical provider (MD), or International Medical Graduate with valid credential: Required
  • Registered Nurse (RN) or Medical license MD (MD) or Foreign Medical Doctor (FMD): Required
Essential Functions:
  • Conducts concurrent audits of active cases to identify documentation and order issues in real time, preventing downstream denials. Applies InterQual or Milliman/MCG criteria to validate patient status decisions and payer medical necessity compliance.
  • Reviews medical records to validate patient placement (inpatient vs. observation) against payer criteria and physician orders. Audits clinical denials to determine root cause, trends, and opportunities for appeal, and recommends actionable prevention strategies. Performs charge audits and account reconciliations to ensure documentation is appropriate, compliant with regulations, and free of denial risk. Provides recommendations for charge corrections and technical assistance in staff training.
  • Identifies barriers to clean claims and timely payment; tracks and trends denials, escalating systemic issues to the Director/Manager. Tracks and trends payer clinical denials, observation hours, and placement errors; prepares reports for Revenue Management leadership. Provides feedback to Coding and CDI teams regarding documentation needed for coding accuracy and DRG assignment.
  • Partners with Case Management, Utilization Management, Medical Officer, and Physician Advisors to ensure accurate clinical documentation and timely status changes. Collaborates in payer escalations and appeal preparation by supplying clinical and documentation findings. Educates providers and staff on documentation, status order accuracy, and denial prevention strategies.
  • Monitors CMS, state, and commercial payer regulatory changes impacting clinical documentation, placement, and observation requirements; integrates updates into audit practices. Demonstrates reliability, responsiveness, and effective follow-up on matters requiring attention.
  • Performs other job-related duties as assigned.

Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
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