Description:
The Nurse Auditor is an expert clinician in the related specialty practice that combines clinical practice with education and leadership. Oversees and performs the concurrent, pre-bill and assists with retrospective audits of billed charges against medical records to identify missing revenue. Identifies opportunities related to charging properly and determines the root cause. Works with leadership team to develop appropriate and standard charging and documentation practices. Participates in the annual departmental charge master review. Assists in the training of clinical staff on changes in the chargemaster. Estimated pay range for this position is $34.85 / hour depending on experience.
Experience with Emergency Room auditing and charging preferred.
Qualifications:
Degrees: Bachelors
Licenses & Certifications: Registered Nurse
Additional Qualifications: Minimum 3 years of clinical experience. Procedural coding, billing and audit experience required. Extensive knowledge of laws, regulations and rules applicable to billing government payers is helpful. Demonstrated ability to be self-directed with excellent organization, analytical and interpersonal skills. Excellent oral and written communications skills. Strong attention to detail. National certification in related department specialty preferred.
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