Nurse Auditor 2/ER - Remote nationwide

Profile

Description

The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for

services rendered is complete, compliant and accurate to support optimal reimbursement.

Responsibilities

The Nurse Auditor 2 validates and interprets medical documentation to ensure capture of all relevant coding. Identifies the root cause analysis of audit findings and submits recommendations for appropriate change management. Applies clinical and coding experience to conduct reviews of provider codes and billing.

Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Required Qualifications


BSN
Active Registered Nurse (RN) license
3 years clinical nursing experience
MS Office proficiency
Demonstrated ability to exercise solid judgment and discretion in handling and disseminating information
Ability to work independently and manage work load
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


Preferred Qualifications


ER experience - strongly preferred
RHIA, RHIT, CPC, or CCS credentials
Demonstrated ability to lead process/project initiatives
Acute inpatient hospital coding experience or inpatient auditing experience
Nurse Coder Background
Prospective payment methodologies, auditing experience
Clinical documentation improvement knowledge
CPT procedural code experience


Work at Home/Remote Requirements


Must ensure designated work area is free from distractions during work hours and virtual meetings
Must provide a high-speed DSL or cable modem for a workspace (Satellite, wireless and Hotspots are prohibited). A minimum standard speed of 25x10 (25mbs download x 10mbs upload) for optimal performance of is required


Scheduled Weekly Hours

40

Company info

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