Remote Nurse Auditor / CDM Revenue Integrity Analyst | WFH
Job Overview
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.
Key Responsibilities
As a Nurse Auditor / Revenue Integrity & CDM Analyst, your tasks will include:
ā¢ Conducting audits of itemized charges against patient medical records and other hospital documentation.
ā¢ Assigning appropriate HCPCS codes and modifiers to claims while ensuring adherence to medical necessity requirements.
ā¢ Collaborating with billing personnel to address coding-related inquiries and provide expert guidance.
ā¢ Partnering directly with revenue-generating departments to rectify lost charges, respond to billing questions, and offer education on effective charge capture.
ā¢ Assisting with the maintenance, research, and updates of the Charge Description Master (CDM).
ā¢ Reviewing observation accounts to ensure precise charge coding for services like ED visits, injections, infusions, and extended recovery care.
Required Skills
To excel in this role, candidates should possess:
ā¢ Exceptional attention to detail and accuracy.
ā¢ Strong written and verbal communication skills.
ā¢ The ability to work independently and efficiently in a remote environment.
Qualifications
ā¢ Demonstrated expertise in revenue integrity, nurse audits, coding, or charge master functions within a hospital context.
ā¢ Strong coding proficiency, verified through a competency assessment or extensive clinical nursing experience in ICU, ED, or as a documentation specialist.
ā¢ Familiarity with health information systems and advanced computer skills.
ā¢ A Bachelor of Science in Nursing (BSN) is preferred.
Career Growth Opportunities
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.
Company Culture and Values
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.
Compensation And Benefits
ā¢ Pay Range: (40.00 - )42.00 per hour.
ā¢ Comprehensive benefits package including medical, dental, and vision coverage.
ā¢ Life and disability insurance options.
ā¢ Critical illness, accident, and hospital benefits.
ā¢ Health Spending Account (HSA).
ā¢ 401(k) Retirement Plan with both pre-tax and Roth post-tax contributions.
ā¢ Employee Assistance Program (EAP).
ā¢ Generous PTO, vacation, and sick leave.
Application Details
ā¢ Deadline to Apply: December 13, 2024.
Employment Type: Contractor
Apply To This Job
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.
Key Responsibilities
As a Nurse Auditor / Revenue Integrity & CDM Analyst, your tasks will include:
ā¢ Conducting audits of itemized charges against patient medical records and other hospital documentation.
ā¢ Assigning appropriate HCPCS codes and modifiers to claims while ensuring adherence to medical necessity requirements.
ā¢ Collaborating with billing personnel to address coding-related inquiries and provide expert guidance.
ā¢ Partnering directly with revenue-generating departments to rectify lost charges, respond to billing questions, and offer education on effective charge capture.
ā¢ Assisting with the maintenance, research, and updates of the Charge Description Master (CDM).
ā¢ Reviewing observation accounts to ensure precise charge coding for services like ED visits, injections, infusions, and extended recovery care.
Required Skills
To excel in this role, candidates should possess:
ā¢ Exceptional attention to detail and accuracy.
ā¢ Strong written and verbal communication skills.
ā¢ The ability to work independently and efficiently in a remote environment.
Qualifications
ā¢ Demonstrated expertise in revenue integrity, nurse audits, coding, or charge master functions within a hospital context.
ā¢ Strong coding proficiency, verified through a competency assessment or extensive clinical nursing experience in ICU, ED, or as a documentation specialist.
ā¢ Familiarity with health information systems and advanced computer skills.
ā¢ A Bachelor of Science in Nursing (BSN) is preferred.
Career Growth Opportunities
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.
Company Culture and Values
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.
Compensation And Benefits
ā¢ Pay Range: (40.00 - )42.00 per hour.
ā¢ Comprehensive benefits package including medical, dental, and vision coverage.
ā¢ Life and disability insurance options.
ā¢ Critical illness, accident, and hospital benefits.
ā¢ Health Spending Account (HSA).
ā¢ 401(k) Retirement Plan with both pre-tax and Roth post-tax contributions.
ā¢ Employee Assistance Program (EAP).
ā¢ Generous PTO, vacation, and sick leave.
Application Details
ā¢ Deadline to Apply: December 13, 2024.
Employment Type: Contractor
Apply To This Job