Remote Recovery Contract RN Claims Auditor in Virginia Beach

Job ID: Available for Members

Location: Virginia

Compensation: To Be Discussed

Staff Reviewed: Fri, Aug 30, 2019

Job Category: Healthcare, Medical Coding, Nursing

Telecommute Level: Majority

Travel Requirements: Possible Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Additional Information: Benefits Available

Job Summary

A healthcare provider is in need of a Remote Recovery Contract RN Claims Auditor in Virginia Beach.

Core Responsibilities of this position include:

  • Determining the clinical necessity that supports the claim in accordance with the respective contract
  • Coordinating the disposition of the denied claim with the appropriate personnel
  • Billing and charging of observation services, other separately chargeable services

Qualifications for this position include:

  • Registered Nurse license required
  • Required: Cert Coding Specialist, Cert Professional Coder
  • Demonstrates the minimum knowledge, skills and abilities to recognize for the individualized needs of the patient
  • Ability to understand and interpret medical records, hospital bills and ChargeMaster
  • Must demonstrate an understanding of Medicare and other payer guidelines
  • All other requirements necessary for this position