Nurse Auditor

Location: the central SC area, SC
Date Posted: 01-22-2018
Nurse Auditor
 
About the Company 
Our client has two free standing full-service hospitals and numerous satellite practices maintaining a true devotion to advanced clinical expertise and unmatched compassion.  The hospital is part of a National Health Network offering many paths to a growing career.  It was recently ranked the second-best hospital in South Carolina and has a 4-star Medicare & Medicaid service rating.   
 
About the Job 
This position will audit activities along the revenue cycle, helping to ensure that processes are in place to create the most complete and correct outcome possible.  This position will also help to ensure that the correct reimbursement is gained from various third party payers performing charge review, chart reviews, audits, and clinical / financial appeals and providing education and guidance to practitioners and other team members.

Job Requirements 
Education: Associates or Bachelor’s degree in Nursing required. 
Licensure/Certification:  Current Clinical Nurse licensure in the state of South Carolina required.
Professional Experience: 
•    Minimal four years clinical experience or two years with BSN, or two years of hospital case management experience. 
•    Utilization Review experience preferred.  
•    Minimum of 2 - 3 years Revenue Integrity/Charge Capture experience. 
•    At least 2 years’ experience in audit and\or performance improvement with knowledge of electronic documentation systems (Electronic Medical Records systems) or Certification from one of the following professional organizations:  Case Management certification, Revenue Integrity Professional (CRIP) RHIA, RHIT, CPC, CPC-H or Associates degree in Health Information Technology preferred.



 
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