Nurse Auditor Jobs description
A nurse auditor is responsible for reviewing medical records to determine whether documentation substantiates the medical necessity, quality of care, utilization, and coding of insurance claims. A nurse auditor insures that data collection for reporting purposes from various departments is within charging practices and departmental policies. Duties include reviewing remittance advices for denials and the appeal process, and finalizing department audit summaries. A nurse auditor ensures optimal billing methods that meet with billing compliance standards (regulations).A nurse auditor should have a LVN and/or RN degree in nursing. Experience of 2+ years in performing audits to ensure maximum achievable reimbursement is required for such positions. Knowledge of CPT, ICD9-CM, HCPCS or other coding structures are usually required. A nurse auditor well versed in commercial and government insurances may be at an advantage. Ability to communicate with all levels of management, such as nursing, ancillary, financial service staff, and outside parties is important.
|
 |
|
Search related to : Nurse Auditor Jobs
| Related Jobs | |
| RSS Job Feed | 574 Matches |
| DATE | LOCATION | JOB TITLE |
| Aug 26, 21 | Jersey City, NJ |
Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home
Humana Inc. Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for ser... |
| Aug 26, 21 | Springfield, MO |
Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home
Humana Inc. Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for ser... |
| Aug 26, 21 | Green Bay, WI |
Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home
Humana Inc. Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for ser... |
| Aug 26, 21 | Atlanta, GA |
Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home
Humana Inc. Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for ser... |
| Aug 26, 21 | Rogers, AR |
Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home
Humana Inc. Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for ser... |
|
Search more Nurse Auditor Jobs |
Testimonial of the Week
The number of jobs listed on EmploymentCrossing is great. I appreciate the efforts that are taken to ensure the accuracy and validity of all jobs.
- Richard S Baltimore, MD
Sign Up now
Only AuditorCrossing consolidates every job it can find in the domain and puts all of the job listings it locates in one place.
- We have more jobs than any other job board.
- We list jobs you will not find elsewhere that are hidden in small regional publications and employer websites
- We collect jobs from more than 4,429,376 websites and post them on our site.
- We are private, and therefore far fewer people are applying for the jobs on our site than are applying for those on public job boards.
