Job Summary
A healthcare company is in need of a Remote Hospital Charge Audit Appeals Registered Nurse.
Must be able to:
- Perform appeals effectively and timely to meet client contractual turnaround times
- Effectively interact and communicate with team members regarding all steps of the appeals
- Utilize nursing knowledge in conjunction with payer policies and CMS guidelines
Applicants must meet the following qualifications:
- Travel for orientation/training as well as up to twice per year for team meetings
- Two years of clinical experience in an acute care hospital
- Graduate of an accredited College or University
- Current R.N. license
- 2+ years experience in Hospital Charge Audit, and Provider defense audit
- 2+ years working with Payer reimbursement policies and or CMS guidelines interpretation