Nurse Auditor - Clinical Billing Edits
Nurse Auditor - Clinical Billing Edits
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Salary Not Disclosed
1 Vacancy
Job Description
Heres What You Need
- Associates Degree in Nursing required
- 5 years clinical experience required
- Revenue Cycle experience strongly preferred
- Texas RN upon hire required
What You Will Do
In this position the auditor analyzes issues from service department personnel charge entry billing department edits and provides correct billing methodology instruction based on clinical position provides leadership physicians and clinicians with education and feedback to improve charging documentation and utilization management based on Medicare guidelines.
Analyze billing edits that require clinical documentation review in order to determine appropriate compliant billing of services with application of modifiers corrections to charges or other billing actions as deemed appropriate. Complete billing edit work queues involved with clinical analysis. Performs audits of patient accounts against the medical records to ensure patient bill reflects services received.
Provide communication and education regarding charge issues/corrections as appropriate to charge issues to management when appropriate and assist in the reconciliation of these collaborate with CBO billing staff as needed to ensure compliant billing. Assist billing department in decisionmaking by clinical analysis of relatedness to inpatients liability and and report charge issues when appropriate to management and assist in the reconciliation of these issues..
Complete audit worksheets education log and any other required forms reflecting actions taken to accounts and identified issues.
Serve on special projects as deemed necessary. Assist in problem resolution.
Additional perks of being a Texas Health Nurse Auditor Clinical Billing Edits
- Benefits include 401k PTO medical dental Paid Parental Leave flex spending tuition reimbursement student Loan forgiveness as well as several other benefits.
- Delivery of high quality of patient care through nursing education nursing research and innovations in nursing practice.
- Strong Unit Based Council (UBC).
- A supportive team environment with outstanding opportunities for growth.
- Learn more about our culture benefits and recent awards.
Do you still have questions or concerns Feel free to email your questions to .
#LILD1
Nurse Auditor Clinical Billing Edits
Bring your passion to Texas Health so we are Better Together
Work location: Remote
Work hours: Monday Friday from 8:30am 5pm
Department highlights:
- Opportunity for career growth: expand knowledge base of revenue and business operations
- Comfortable supportive work from home environment with supportive team
- Ongoing training and development including Medicare billing guidelines and select aspects of coding
- Small team with strong collaborative relationships
Employment Type
Full-Time
