Remote Nurse Auditor / CDM Revenue Integrity Analyst | WFH
Job OverviewAre 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 ResponsibilitiesAs 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.
- Exceptional attention to detail and accuracy.
- Strong written and verbal communication skills.
- The ability to work independently and efficiently in a remote environment.
- 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.
- 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.
- Deadline to Apply: December 13, 2024.