Hybrid Nurse Auditor – Level 2

Posted 2 days ago

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About the role

  • Performs clinical audit/validation processes to ensure that medical record documentation and billing for services rendered is complete, compliant and accurate to support optimal reimbursement
  • Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action
  • Validates and interprets medical record documentation to ensure billing for services is complete, accurate and follows all necessary guidelines
  • Applies clinical experience when conducting chart reviews of hospital and facility billing
  • Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
  • Follows established guidelines/procedures

Requirements

  • Active Registered Nurse (RN) license
  • Minimum of 3+ years nursing experience
  • Able to apply analytical and critical thinking skills to reviews
  • MS Office proficiency
  • Demonstrated ability to exercise solid judgment and discretion in handling and disseminating information
  • Ability to work independently, manage workload, and work in a production-based environment
  • Customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
  • Excellent writing, editing, interpersonal, planning, teamwork, and communications skills
  • Comfortable working in an ever-changing environment

Benefits

  • medical, dental and vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance and many other opportunities

Job title

Nurse Auditor – Level 2

Job type

Experience level

Mid levelSenior

Salary

$78,400 - $107,800 per year

Degree requirement

Bachelor's Degree

Location requirements

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