Remote Nurse Auditor / CDM Revenue Integrity Analyst | WFH
<strong>Job Overview<br><br></strong>Are you an accomplished healthcare professional with a strong background in coding, auditing, and revenue integrity? We invite you to become an integral member of our esteemed team as a Nurse Auditor / Revenue Integrity & CDM Analyst. In this fully remote role, you will be pivotal in ensuring precise billing, compliance, and the optimization of revenue streams.<br><br>Key Responsibilities<br><br>As a Nurse Auditor / Revenue Integrity & CDM Analyst, your tasks will include:<br><br><ul><li>Conducting audits of itemized charges against patient medical records and other hospital documentation.</li><li>Assigning appropriate HCPCS codes and modifiers to claims while ensuring adherence to medical necessity requirements.</li><li>Collaborating with billing personnel to address coding-related inquiries and provide expert guidance.</li><li>Partnering directly with revenue-generating departments to rectify lost charges, respond to billing questions, and offer education on effective charge capture.</li><li>Assisting with the maintenance, research, and updates of the Charge Description Master (CDM).</li><li>Reviewing observation accounts to ensure precise charge coding for services like ED visits, injections, infusions, and extended recovery care.<br><br></li></ul><strong>Required Skills<br><br></strong>To excel in this role, candidates should possess:<br><br><ul><li>Exceptional attention to detail and accuracy.</li><li>Strong written and verbal communication skills.</li><li>The ability to work independently and efficiently in a remote environment.<br><br></li></ul><strong>Qualifications<br><br></strong><ul><li>Demonstrated expertise in revenue integrity, nurse audits, coding, or charge master functions within a hospital context.</li><li>Strong coding proficiency, verified through a competency assessment or extensive clinical nursing experience in ICU, ED, or as a documentation specialist.</li><li>Familiarity with health information systems and advanced computer skills.</li><li>A Bachelor of Science in Nursing (BSN) is preferred.<br><br></li></ul>Career Growth Opportunities<br><br>By joining our organization, you will be part of a respected institution that values professional development and offers numerous opportunities for advancement within the healthcare field.<br><br>Company Culture and Values<br><br>We pride ourselves on maintaining a reputable and stable organizational environment that places great importance on our employees. Our collaborative culture is geared towards enhancing revenue integrity and compliance, creating a supportive atmosphere for all team members.<br><br><strong>Compensation And Benefits<br><br></strong><ul><li>Pay Range: (40.00 - )42.00 per hour.</li><li>Comprehensive benefits package including medical, dental, and vision coverage.</li><li>Life and disability insurance options.</li><li>Critical illness, accident, and hospital benefits.</li><li>Health Spending Account (HSA).</li><li>401(k) Retirement Plan with both pre-tax and Roth post-tax contributions.</li><li>Employee Assistance Program (EAP).</li><li>Generous PTO, vacation, and sick leave.<br><br></li></ul>Application Details<br><br><ul><li>Deadline to Apply: December 13, 2024.<br><br></li></ul>Employment Type: Contractor
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