Nurse Auditor 1
Company: Change Healthcare
Location: Jackson
Posted on: June 22, 2022
|
|
Job Description:
Overview of PositionThe Hospital Charge Audit Nurse RN/LPN will
perform remote of both inpatient and outpatient hospital claims as
assigned. Audits are conducted as a medical record review of all
billed charges to identify over, under and late charges; as well as
ensure provider reimbursement is within client guidelines and
policies. These are not DRG or medical necessity audits. Employee
may live in any state. What will be my duties and responsibilities
in this job?+ Perform remote hospital bill charge audits as
assigned while meeting department quality expectations + Manage
case inventory to ensure timely scheduling of remote audits while
maintaining weekly productivity goals + Ability to assess case
details and provide input into audit potential of facilities &
cases + Effectively interact and communicate with teammates &
providers regarding all steps of the audit process. Some
interaction with clients may occasionally be required as well. +
Utilize nursing knowledge in conjunction with interpretation of the
medical record to identify discrepancies in billed charges +
Develop recommendations and possible solutions to resolve audit
disputes that have resulted in incomplete audit closure + Other
duties as requested What are the requirements needed for this
position?+ Graduate of an accredited College or University+ Current
R.N. license or LPN/LVN license+ Two years of clinical experience
in an acute care hospital+ Two years medical claim review or
experience as a charge audit nurse, performing
Concurrent/Retrospective, Third Party Defense, Outpatient and High
Dollar In Patient accounts.+ Experienced in Infusion and Injection
charge hierarchy, Out Pt procedure charges and other charges
related.+ Experience in use of the electronic medical record (EMR)+
Excellent organizational skills with a strong focus on attention to
detail+ Knowledge of acute hospital billing requirement including
UB-04s, revenue codes, itemization of charges, CPT codes, HCPCS
codes ICD 10 diagnosis and procedure codes+ Proficiency with
Microsoft office including Outlook, Word and Excel computer
skillsWhat other skills/experience would be helpful to have?+
Medical coding credentials a plus but not required + Operating
room, ICU experience and/or other critical care areas + Ability to
follow up and resolve issues in a timely manner + Excellent
critical thinking/problem solving skills + Excellent verbal and
written communication skills to include professional communication
to facilities + Ability to work independently as well as recognize
when administrative or clinical support is needed + Ability to
multitask in a fast-paced environment + Ability to organize, plan,
prioritize and complete assignments within the required time frame
+ Ability to prepare clear, concise, and legible audit forms What
are the working conditions and physical requirements of this job?
Remote Join our team today where we are creating a better
coordinated, increasingly collaborative, and more efficient
healthcare system! COVID Vaccination Requirements We remain
committed to doing our part to ensure the health, safety, and
well-being of our team members and our communities. As such, we
require all employees to disclose COVID-19 vaccination status prior
to beginning employment and we may require periodic testing for
certain roles. In addition, some roles require full COVID-19
vaccination as an essential job function. Change Healthcare adheres
to COVID-19 vaccination regulations as well as all client COVID-19
vaccination requirements and will obtain the necessary information
from candidates prior to employment to ensure compliance. Equal
Opportunity/Affirmative Action Statement Change Healthcare is an
equal opportunity employer. All qualified applicants will receive
consideration for employment without regard to race, color,
religion, age, sex, sexual orientation, gender identity, genetic
information, national origin, disability, or veteran status. To
read more about employment discrimination protections under federal
law, read EEO is the Law at
https://www.eeoc.gov/employers/eeo-law-poster and the supplemental
information at
https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.If
you need a reasonable accommodation to assist with your application
for employment, please contact us by sending an email to
applyaccommodations@changehealthcare.com with "Applicant requesting
reasonable accommodation" as the subject. Resumes or CVs submitted
to this email box will not be accepted.Click here
https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
to view our pay transparency nondiscrimination policy. California
(US) Residents: By submitting an application to Change Healthcare
for consideration of any employment opportunity, you acknowledge
that you have read and understood Change Healthcares Privacy Notice
to California Job Applicants Regarding the Collection of Personal
Information
(https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants)
. Change Healthcare maintains a drug free workplace and conducts
pre-employment drug-testing, where applicable, in accordance with
federal, state and local laws.Change Healthcare is an equal
opportunity employer. All qualified applicant will reveive
consideration for employment without regard to race, color,
religion, age, sex, sexual orientation, gender identity, genetic
information, national origin, disability, or veteran status.
Keywords: Change Healthcare, Jackson , Nurse Auditor 1, Healthcare , Jackson, Mississippi
Click
here to apply!
|