Job Summary

Worker's Compensation Bill Review/Audit opening with EK Health! LPN/LVN required

If you enjoy the medical BILL review/audit process, identifying & resolving billing discrepancies, and using your nursing expertise, this may be for you!

Here is a high-level overview of the role (job description not inclusive):
~Review/audit high dollar, complex procedure and/or other at risk bills for:
~Potential billing errors
~Charges not supported by documentation
~Charges not related to the work comp injury (if the accepted injury is available to us)
~Charges that should not be unbundled
~Diagnosis Related Group Validation
~Implant verification/proof of service
~Correct use of CPT, Diagnosis, Procedure, HCPCS codes as well as modifiers
~Unlisted or BR code verification and/or re-pricing

Position Specifics: Exempt, Business Hours Monday through Friday, in an EK office, or remote as demand requires.

Partial List of Requirements:
~LPN or RN with an active and unencumbered license
~Minimum (3-5) three to five years clinical nursing experience
~3 years' experience in billing & auditing
~Minimum 3 years' experience in Workers Compensation preferred
~Knowledge of ICD-9/10, HCPCS ,CPT, Modifier & DRG coding procedures

We offer benefits including Medical, Dental, Vision, 401K, PTO and Holiday Pay.