Remote Nurse Auditor in Minnetonka

Job ID: Available for Members

Location: Minnesota

Compensation: To Be Discussed

Staff Reviewed: Wed, May 29, 2019

Job Category: Nursing, Quality Assurance

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Day Shift

Employment Status: Temporary, Independent Contractor

Employer Type: Staffing Agency

Career Level: Experienced

Job Summary

A staffing agency is in need of a Remote Nurse Auditor in Minnetonka.

Core Responsibilities of this position include:

  • Auditing medical records and high dollar claims
  • Supporting other high-dollar auditors in their reviews of high-dollar claims
  • Reviewing Hospital Bill and Itemized bill to verify that claim was billed appropriately

Position Requirements Include:

  • RN with five years of experience in an acute care hospital setting
  • Five years of experience of Hospital Bill Audits
  • Three years itemized bill audit experience
  • Knowledge of contractual methodologies
  • Knowledge of CMS and AMA coding rules specific to ICD-10, CPT, HCPCS, and E&M
  • Knowledge of CMS Coverage, Federal and State Statutes, Rules, and Regulations