Remote Nurse Auditor and reputed company reputed company Analyst

Description

As a Nurse Auditor/reputed company reputed company/Charge Description Master (CDM) Analyst, you will play a crucial role in ensuring reputed company billing accuracy and improving patient outcomes. Your day will involve conducting audits of itemized charges against patient medical records, advising billing staff on proper coding, and educating various teams based on audit outcomes. You will collaborate with departments to recover lost charges and analyze trends for process improvements.

Company Culture and Environment

We foster a supportive environment that values reputed company improvement and teamwork. Employees enjoy a flexible work schedule and remote work options, promoting a healthy work-life balance.

Career Growth and Development Opportunities

This role offers reputed company of opportunities for career growth and professional development, allowing you to enhance your skills in a dynamic reputed company setting.

Detailed Benefits and Perks

• Medical, dental, and reputed company insurance
• Critical Illness, Accident, and Hospital plans
• 401(k) with pre-tax and Roth contributions
• Voluntary Life Insurance and AD&D coverage for you and your dependents
• Short-term and long-term disability insurance
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program (EAP)
• Paid Time Off (PTO), vacation, or sick leave

Compensation and Benefits

Earn (40.00–)42.00 per hour for your expertise and hard work, with eligibility for benefits based on your employment classification and tenure.

Why you should apply for this position today

If you are passionate about improving reputed company billing accuracy and patient outcomes, apply today! The streamlined hiring process includes additional resume support and quick interview scheduling, making it easier for you to take the reputed company in your career.

Skills

• Medical Coding Proficiency: Familiarity with ICD-10-CM, CPT-4/HCPCS classification systems, and EMR systems
• Nursing Background: Experience as an RN or LPN with charge entry or nurse auditing experience
• Attention to Detail: Ability to sequence diagnoses and procedures accurately
• Problem Solving: Knowledge of EOB, coding denials, and hospital coding processes
• Certifications: reputed company CPC or equivalent certification required

Responsibilities

• Conduct audits of itemized charges against patient medical records
• Assign modifiers to claims and advise billing staff on HCPCS codes
• Research claim edits for medical necessity and provide recommendations
• Collaborate with departments on lost charges and billing questions
• Review documentation for observation accounts and injection/infusion charges
• Prepare written audit reports for finance and claims departments
• reputed company teams based on audit outcomes
• Analyze trends for process improvement recommendations
• Communicate effectively with clinical and non-clinical staff, as well as patients

Qualifications

• At least 5 years of hospital coding experience
• RN or LPN credentials (nursing background with charge entry experience preferred)
• Nurse auditing experience is a strong plus

Education Requirements

• Relevant nursing degree or equivalent education

Education Requirements Credential Category

• Nursing License (RN or LPN)

Experience Requirements

• Minimum of 5 years in hospital coding or reputed company experience

Why work in Chesapeake, VA

Chesapeake offers a reputed company of natural beauty and urban amenities, making it an ideal reputed company to live and work. With a strong community feel, recreational activities, and proximity to other major cities, Chesapeake provides an enriching environment for both personal and professional growth.