Nurse Auditor – Revenue Integrity (Remote in Wisconsin)
About the positionResponsibilities• Review medical records for proper coding of assigned specialties.• Act as a liaison providing guidance on coding and Medicare/Medicaid policy issues.• Develop payor or Recovery Audit Contractors (RAC) appeals correspondence materials.Requirements• Nursing diploma or Associate’s degree in nursing.• Three years’ experience in a medical setting or medical business office.• Demonstrated knowledge of surgical and medical procedures.• Strong written and verbal communication skills.• Demonstrated knowledge of Microsoft Office Suite.• Registered Nurse license awarded by the State of Wisconsin.• Coding certification awarded by AAPC, AHIMA, or other approved coding certification must be obtained within three years of hire.Nice-to-haves• Bachelor’s degree in nursing.• Demonstrated knowledge of CPT, ICD-9/ICD-10, and HCPCS coding.• Demonstrated knowledge of Inter-qual criteria.• Current coding certification awarded by AAPC, AHIMA, or other approved coding certification at time of hire.Benefits• Level 1 benefit package for positions listed as 30 hours per week or greater.• Level 2 benefit package for positions listed as 20 – 29 hours per week.• Non-benefited for positions listed as less than 19 hours per week.
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