Nurse Auditor – PRN, Anywhere

Remote, USA Full-time
United Audit Systems, Inc. (UASI), a rapidly growing healthcare consulting firm seeks to expand its professional team of employees by adding experienced Nurse Auditors to our team on a part-time or PRN basis. The ideal candidate will have a combination of clinical experience in a hospital acute care setting and experience providing reviews of the hospital billing and charging policies. PrimaryResponsibilities:• Perform a variety of audit services including charge audit, compliance audit, medical necessity, denials and other requests as needed.Audits may be performed on a concurrent or retrospective basis• Review and analyze the client inpatient and/or outpatient itemized billing statement and the patient medical record and related documentation to identify items that were not billed correctly. • Document findings on appropriate form and submit findings to client management staff daily so new billing forms can be generated in hospitals billing systems. • Adhere to the National Health Care Billing Audit Guidelines, UASI Code of Conduct and Compliance Program, and the client third party audit policy while performing all duties.• Attend meetings with members of client-hospital finance, medical records, and ancillary departments. • Educate Client-Hospital personnel on validation and documentation of charges if requested by client contract relationship. • Navigate hospitals medical record system and understand where to locate the financial information in relation to the patient payor billing informationRequirements:• Medical clinical experience• Epic experience (Preferred)• InterQual and Medical Necessity experience• Ability to read and comprehend itemized billing statement, patient medical record and other laboratory reports• Ability to analyze medical information and determine appropriate billing procedures• Ability to effectively communicate with others• Analytical thinking process• Knowledge of basic computer skillsUASI is the employer of choice due to our outstanding reputation for excellence within the industry and for our comprehensive benefit package which includes:• Medical, dental, vision and life insurance, short/long-term disability, 401(K) and referral bonuses• Training opportunities and reimbursement for professional certifications• UASI's unique approach to employee appreciation which include: birthday recognition, holiday gift selections, performance awards, and years of service awards Apply tot his job
Apply Now

Similar Jobs

Research Scientist - Music

Remote, USA Full-time

RN Auditor, Clinical Services remote based in WA

Remote, USA Full-time

Remote Podcast Community Moderator

Remote, USA Full-time

[Hiring] Virtual Patient Coordinator @Spring Fertility

Remote, USA Full-time

RRT Anthem Analyst

Remote, USA Full-time

Data Entry at AnthemInc

Remote, USA Full-time

Remote Podcast Community Moderator

Remote, USA Full-time

Experienced Customer Service Representative – Remote Work Opportunity with Southwest Airlines, $30/Hour, No Experience Required, Work from Home, US-Based

Remote, USA Full-time

Nurse Auditor 2 (WORK AT HOME | ANYWHERE IN THE US/PUERTO RICO)

Remote, USA Full-time

Senior Nurse Auditor RN - Remote/Work at Home Nationwide

Remote, USA Full-time

Associate Cybersecurity Threat Analyst- Operati...

Remote, USA Full-time

Experienced Seasonal Chat and Phone Technical Support and Customer Service Agent for a Dynamic and Innovative Company

Remote, USA Full-time

Program Manager

Remote, USA Full-time

Emergency Veterinary Technician - Overnight Shift

Remote, USA Full-time

Instructional Designer (Remote - IA, WI, TX)

Remote, USA Full-time

Experienced Live Chat Specialist and Customer Service Representative for Remote Work-from-Home Opportunity at blithequark

Remote, USA Full-time

Sales Engineer

Remote, USA Full-time

Entry-Level Remote Data Entry Specialist – Career Launch Opportunity with blithequark for Fresh Graduates and Individuals Seeking a Dynamic Work Environment

Remote, USA Full-time

Remote HR Assistant – Entry Level, WFH

Remote, USA Full-time

Experienced Data Entry Specialist – Night Shift Opportunities at blithequark (Remote)

Remote, USA Full-time
Back to Home