Remote Nurse Auditor and Revenue Integrity Analyst
Description
As a Nurse Auditor/Revenue Integrity/Charge Description Master (CDM) Analyst, you will play a crucial role in ensuring healthcare billing accuracy and improving patient outcomes. Your day will involve conducting audits of itemized charges against patient medical records, advising billing staff on proper coding, and educating various teams based on audit outcomes. You will collaborate with departments to recover lost charges and analyze trends for process improvements.
Company Culture and Environment
We foster a supportive environment that values continuous improvement and teamwork. Employees enjoy a flexible work schedule and remote work options, promoting a healthy work-life balance.
Career Growth and Development Opportunities
This role offers plenty of opportunities for career growth and professional development, allowing you to enhance your skills in a dynamic healthcare setting.
Detailed Benefits and Perks
Medical, dental, and vision insurance
Critical Illness, Accident, and Hospital plans
401(k) with pre-tax and Roth contributions
Voluntary Life Insurance and AD&D coverage for you and your dependents
Short-term and long-term disability insurance
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program (EAP)
Paid Time Off (PTO), vacation, or sick leave
Compensation and Benefits
Earn (40.00–)42.00 per hour for your expertise and hard work, with eligibility for benefits based on your employment classification and tenure.
Why you should apply for this position today
If you are passionate about improving healthcare billing accuracy and patient outcomes, apply today! The streamlined hiring process includes additional resume support and quick interview scheduling, making it easier for you to take the next step in your career.
Skills
Medical Coding Proficiency: Familiarity with ICD-10-CM, CPT-4/HCPCS classification systems, and EMR systems
Nursing Background: Experience as an RN or LPN with charge entry or nurse auditing experience
Attention to Detail: Ability to sequence diagnoses and procedures accurately
Problem Solving: Knowledge of EOB, coding denials, and hospital coding processes
Certifications: Current CPC or equivalent certification required
Responsibilities
Conduct audits of itemized charges against patient medical records
Assign modifiers to claims and advise billing staff on HCPCS codes
Research claim edits for medical necessity and provide recommendations
Collaborate with departments on lost charges and billing questions
Review documentation for observation accounts and injection/infusion charges
Prepare written audit reports for finance and claims departments
Educate teams based on audit outcomes
Analyze trends for process improvement recommendations
Communicate effectively with clinical and non-clinical staff, as well as patients
Qualifications
At least 5 years of hospital coding experience
RN or LPN credentials (nursing background with charge entry experience preferred)
Nurse auditing experience is a strong plus
Education Requirements
Relevant nursing degree or equivalent education
Education Requirements Credential Category
Nursing License (RN or LPN)
Experience Requirements
Minimum of 5 years in hospital coding or related experience
Why work in Chesapeake, VA
Chesapeake offers a blend of natural beauty and urban amenities, making it an ideal place to live and work. With a strong community feel, recreational activities, and proximity to other major cities, Chesapeake provides an enriching environment for both personal and professional growth.
Apply Now
As a Nurse Auditor/Revenue Integrity/Charge Description Master (CDM) Analyst, you will play a crucial role in ensuring healthcare billing accuracy and improving patient outcomes. Your day will involve conducting audits of itemized charges against patient medical records, advising billing staff on proper coding, and educating various teams based on audit outcomes. You will collaborate with departments to recover lost charges and analyze trends for process improvements.
Company Culture and Environment
We foster a supportive environment that values continuous improvement and teamwork. Employees enjoy a flexible work schedule and remote work options, promoting a healthy work-life balance.
Career Growth and Development Opportunities
This role offers plenty of opportunities for career growth and professional development, allowing you to enhance your skills in a dynamic healthcare setting.
Detailed Benefits and Perks
Medical, dental, and vision insurance
Critical Illness, Accident, and Hospital plans
401(k) with pre-tax and Roth contributions
Voluntary Life Insurance and AD&D coverage for you and your dependents
Short-term and long-term disability insurance
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program (EAP)
Paid Time Off (PTO), vacation, or sick leave
Compensation and Benefits
Earn (40.00–)42.00 per hour for your expertise and hard work, with eligibility for benefits based on your employment classification and tenure.
Why you should apply for this position today
If you are passionate about improving healthcare billing accuracy and patient outcomes, apply today! The streamlined hiring process includes additional resume support and quick interview scheduling, making it easier for you to take the next step in your career.
Skills
Medical Coding Proficiency: Familiarity with ICD-10-CM, CPT-4/HCPCS classification systems, and EMR systems
Nursing Background: Experience as an RN or LPN with charge entry or nurse auditing experience
Attention to Detail: Ability to sequence diagnoses and procedures accurately
Problem Solving: Knowledge of EOB, coding denials, and hospital coding processes
Certifications: Current CPC or equivalent certification required
Responsibilities
Conduct audits of itemized charges against patient medical records
Assign modifiers to claims and advise billing staff on HCPCS codes
Research claim edits for medical necessity and provide recommendations
Collaborate with departments on lost charges and billing questions
Review documentation for observation accounts and injection/infusion charges
Prepare written audit reports for finance and claims departments
Educate teams based on audit outcomes
Analyze trends for process improvement recommendations
Communicate effectively with clinical and non-clinical staff, as well as patients
Qualifications
At least 5 years of hospital coding experience
RN or LPN credentials (nursing background with charge entry experience preferred)
Nurse auditing experience is a strong plus
Education Requirements
Relevant nursing degree or equivalent education
Education Requirements Credential Category
Nursing License (RN or LPN)
Experience Requirements
Minimum of 5 years in hospital coding or related experience
Why work in Chesapeake, VA
Chesapeake offers a blend of natural beauty and urban amenities, making it an ideal place to live and work. With a strong community feel, recreational activities, and proximity to other major cities, Chesapeake provides an enriching environment for both personal and professional growth.
Apply Now