Texas Licensed Nurse Auditor

Job Summary

A company is looking for a Nurse Auditor to analyze billing issues and provide education on compliant billing methodologies.

Key Responsibilities

• Analyze billing edits and perform audits of patient accounts to ensure accurate billing based on clinical documentation
• Communicate and educate stakeholders regarding charge issues and assist in reconciliation efforts
• Complete required audit documentation and participate in special projects as needed

Required Qualifications

• Associate's degree in Nursing required
• 5 years of clinical experience required
• Experience with appeals/denials preferred
• Experience with charging and CPT coding preferred
• Active RN license upon hire preferred