Job Summary

A health technology company is searching for a person to fill their position for a Remote Clinical Validation Appeal Registered Nurse Auditor.

Individual must be able to fulfill the following responsibilities:

• Perform rebuttal/appeal reviews, responds to the provider, and provides feedback to the CVA Auditors
• Communicate audit findings with excellent grammar and writing skills
• Suggest potential training opportunities as well as input on potential new audit concepts or screening rules

Qualifications Include:

• An active and unrestricted RN license
• 3 years of clinical nursing experience in the inpatient setting
• Ability to perform in-depth analysis of clinical documentation relating to diagnoses
• 3 years experience in ICD-10; or 3 years of inpatient CDI experience; or equivalent experience
• Proficiency with MS Office along with good ability to learn new systems
• Excellent analytical skills