EXP NURSE AUDITOR SCOTTSDALE FT DAYS
Osborn Medical Center
HH Infusion - Billing Adm
7:30am - 4pm
Performs post payment clinical auditing in defense of hospital charges. This position audits patient records to evaluate medical necessity and charge capture in an effort to minimize hospital losses; conducts requested audits to ensure consistency between medical records documentation and billing statements on patient accounts; submits appeals to payers on patient account denials when appropriate; reviews medical records and other patient documents as needed to support hospital departments; and communicates findings to appropriate departments.
EDUCATION: BSN from an accredited NLN/CCNE institution.
2 years RN experience.
Clinical experience in practice of professional nursing.
Understanding of patient charts and clinical documentation:
Business letter writing
CERTIFICATION/LICENSURE: Registered Nurse with State Licensure and/or Compact State Licensure.