Nurse Auditor, Revenue Cycle
Department: Revenue Cycle Integrity
Schedule: Full-time
Shift: Day shift
Hours: 8:00 to 4:30
Job Details:
The Revenue Cycle Nurse Auditor will coordinate and finalize patient account audits, pre-screen patient medical records to recoup under/over-billing, and instruct/consult with hospital management and staff to resolve documentation and charging procedures.
Education:
Graduate of an accredited school of nursing,Bachelor’s degree is preferred
Licensure as registered nurse through the State Board of Nursing,AAHAM certification CPAT preferred
Experience:
Minimum of 4 years clinical, direct patient care required
Knowledge of ICD-9, CPT-4 and HCPCS coding, as well as CMS-1500 and UB-04 forms required
Experience as a nurse auditor with a hospital or audit firm preferred
Medical chart auditing required
Familiarity with regulatory AHCA guidelines preferred
Knowledge of patient registration, charge capture, coding requirements, billing and adjudication of accounts
Experience using healthcare web-based applications