A company that provides cost containment services is filling a position for a Telecommute Registered Nurse Bill Auditor. Core Responsibilities Include: Generating all potential review notices regarding denial.
Licensure/Areas of Study required: Nursing, pharmacy, public health, healthcare administration or other related field. 3+ or more years of applicable experience. Experience should include leading quality improvement activities, and developing performance improvement programs.
Bachelor's degree in Healthcare, Nursing, Business Administration, Law or related field required. 7 years in Healthcare risk management, quality, patient safety, or law, including two years of leadership experience. Experience creating and managing department budgets.
A healthcare company is seeking a Remote Medical Review Nurse Auditor in Sunrise. Core Responsibilities of this position include: Clinically validating the medical appropriateness and coding accuracy of services rendered in an inpatient setting.
Skills and Requirements Include: Ability to organize, plan and execute on-site (or phone) reviews of customers/prospects. Degree and/or experience in a clinical nursing area. Ability to develop relationships that will strengthen ties with customers or prospects.
Required Skills: 3+ years clinical nursing experience. Must be a United States citizen. Must successfully receive interim approval for government security clearance. Active licensed RN in state of employment. 2+ years of UR or QM experience.