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: • Conducting audits of itemized charges against patient medical records and other hospital documentation. • Assigning appropriate HCPCS codes and modifiers to claims while ensuring adherence to medical necessity requirements. • Collaborating with billing personnel to address coding-related inquiries and provide expert guidance. • Partnering directly with revenue-generating departments to rectify lost charges, respond to billing questions, and offer education on effective charge capture. • Assisting with the maintenance, research, and updates of the Charge Description Master (CDM). • 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: • Exceptional attention to detail and accuracy. • Strong written and verbal communication skills. • The ability to work independently and efficiently in a remote environment. Qualifications • Demonstrated expertise in revenue integrity, nurse audits, coding, or charge master functions within a hospital context. • Strong coding proficiency, verified through a competency assessment or extensive clinical nursing experience in ICU, ED, or as a documentation specialist. • Familiarity with health information systems and advanced computer skills. • 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 • Pay Range: (40.00 - )42.00 per hour. • Comprehensive benefits package including medical, dental, and vision coverage. • Life and disability insurance options. • Critical illness, accident, and hospital benefits. • Health Spending Account (HSA). • 401(k) Retirement Plan with both pre-tax and Roth post-tax contributions. • Employee Assistance Program (EAP). • Generous PTO, vacation, and sick leave. Application Details • Deadline to Apply: December 13, 2024. Employment Type: Contractor Apply To This Job Apply To this Job