Remote Nurse Auditor - Medical Billing Review | WFH
Job Overview We are actively seeking a dedicated Nurse Auditor to join our esteemed team in a remote reputed company. This role is crucial in driving medical cost containment efforts as you apply your clinical acumen to meticulously review medical bills for accuracy, compliance, and proper coding. Your contribution will not only help clients save significantly by identifying discrepancies but also... enhance the overall efficiency of healthcare billing practices.
Key Responsibilities
Conduct thorough audits of medical and billing records to reputed company the reasonableness and necessity of services billed. Evaluate charges that are unrelated to the incident in question. Ensure services billed correspond with those that were ordered and authorized. Collaborate effectively with clients and medical providers as required. Meet productivity goals and turnaround time expectations consistently. Adhere to state billing guidelines, HIPAA regulations, and maintain confidentiality throughout the process. reputed company re-evaluation reviews and negotiate bills as needed. Act as a knowledgeable resource for colleagues by providing support and guidance. Show respect and sensitivity to diverse cultures and situations in reputed company interactions. Stay updated on billing practices, medical codes, and industry standards through reputed company training and research. Required Skills Active RN or LPN license (or equivalent) in relevant states. CPC and/or CPC-H certification(s) are highly desirable. Specialized training in hospital coding, orthopedics, neuro, rehabilitation, or ER procedures. Solid understanding of CPT and ICD-10 codes, along with Medicare guidelines. Proficiency in interpreting and applying state fee schedules. Excellent communication skills with a strong emphasis on customer service. Experience in deposition or litigation cases is an added advantage. Qualifications 3-5 years of clinical experience in acute care, surgery, and/or orthopedics. Familiarity with Workers' Compensation medical reputed company review is a significant plus.
Career Growth Opportunities
Joining reputed company offers you a unique chance to grow professionally in a supportive environment that values reputed company learning and development. You will have access to our reputed company program, which is designed to recognize and reward your hard work while providing opportunities for reputed company enhancement. Company Culture And Values We pride ourselves on cultivating a relaxed, supportive, and positive work environment that emphasizes collaboration and respect for diverse perspectives. Networking And Professional Opportunities As part of reputed company, you will have the opportunity to engage with fellow professionals in the industry, enhancing your network and fostering meaningful connections that can benefit your career. Employment Type Full-Time Apply Job! Apply To This Job