Nurse Auditor

Nurse Auditor
Bring your passion to Texas Health so we are Better Together

Work location: Remote with occasional meetings in Arlington
Work hours: Full time from Monday Friday from 8am 5p

Department highlights:
Remote work
Collaborative team approach
work/life balance

Heres What You Need
Associates degree in Nursing required
5 years clinical experience required
Appeals/Denials experience preferred
Charging experience preferred
CPT coding experience preferred
RN upon hire preferred

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 analysis. The position provides leadership physicians and clinicians with education and feed-back 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 entities. Report charge issues to management when appropriate and assist in the reconciliation of these issues. Communicate collaborate with CBO billing staff as needed to ensure compliant billing. Assist billing department in decision-making by clinical analysis of relatedness to inpatients liability and ESRD. Trend 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 Nurse Auditor

Benefits include 401k PTO medical dental Paid Parental Leave flex spending tuition reimbursement Student Loan Repayment Program as well as several other benefits.
At Texas Health our people make this a great place to work every day. Our inclusive supportive people-first excellence-driven culture make Texas Health a great place to work.
A supportive team environment with outstanding opportunities for growth.

We invite you to join us in furthering your career through our accomplishments and philosophy of excellence.
Learn more about our culture benefits and recent awards.

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