Pennsylvania Licensed Nurse Auditor

Job Summary

A company is looking for a Nurse Auditor.

Key Responsibilities

• Acts as a liaison with third-party billing and auditing firms for all audits
• Reviews audits and writes appeals for charge denials and medical necessity denials
• Collaborates with management and provides education to ensure correct charging procedures

Required Qualifications

• Specialized Diploma in nursing
• 10 years of clinical experience
• Ability to read medical charts and identify documentation deficiencies
• Knowledge of medical policies and hospital charging methods
• RN - Licensed Registered Nurse in Pennsylvania upon hire