Job Overview Are you an accomplished healthcare professional with a strong background in coding, auditing, and revenue integrity? We invite you to become an integral member of our esteemed team as a Nurse Auditor / Revenue Integrity & CDM Analyst. In this fully remote role, you will be pivotal in ensuring precise billing, compliance, and the optimization of revenue streams.

Key Responsibilities

As a Nurse Auditor / Revenue Integrity & CDM Analyst, your tasks will include:

• Conducting audits of itemized charges against patient medical records and other hospital documentation.
• Assigning appropriate HCPCS codes and modifiers to claims while ensuring adherence to medical necessity requirements.
• Collaborating with billing personnel to address coding-related inquiries and provide expert guidance.
• Partnering directly with revenue-generating departments to rectify lost charges, respond to billing questions, and offer education on effective charge capture.
• Assisting with the maintenance, research, and updates of the Charge Description Master (CDM).
• Reviewing observation accounts to ensure precise charge coding for services like ED visits, injections, infusions, and extended recovery care.

Required Skills To excel in this role, candidates should possess:

• Exceptional attention to detail and accuracy.
• Strong written and verbal communication skills.
• The ability to work independently and efficiently in a remote environment.

Qualifications

• Demonstrated expertise in revenue integrity, nurse audits, coding, or charge master functions within a hospital context.
• Strong coding proficiency, verified through a competency assessment or extensive clinical nursing experience in ICU, ED, or as a documentation specialist.
• Familiarity with health information systems and advanced computer skills.
• A Bachelor of Science in Nursing (BSN) is preferred.

Career Growth Opportunities

By joining our organization, you will be part of a respected institution that values professional development and offers numerous opportunities for advancement within the healthcare field. Company Culture and Values We pride ourselves on maintaining a reputable and stable organizational environment that places great importance on our employees. Our collaborative culture is geared towards enhancing revenue integrity and compliance, creating a supportive atmosphere for all team members.

Compensation

And Benefits

• Pay Range: (40.00 - )42.00 per hour.
• Comprehensive benefits package including medical, dental, and vision coverage.
• Life and disability insurance options.
• Critical illness, accident, and hospital benefits.
• Health Spending Account (HSA).
• 401(k) Retirement Plan with both pre-tax and Roth post-tax contributions.
• Employee Assistance Program (EAP).
• Generous PTO, vacation, and sick leave.

Application Details

• Deadline to Apply: December 13, 2024.

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