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Revenue Nurse Auditor - Business Office - Full Time - Days - 8hr

Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals.

Job Summary

The Revenue Nurse Auditor is responsible for performing government and private payer audit reviews and appeals. Compares clinical and financial records to ensure that the documentation provided supports the patient charges listed. Monitors late and missing charges. If errors are detected, the Auditor will present corrected information to Business Services or affected department(s), and work collaboratively with each effected area to maintain accuracy and appropriate billing.

Job Requirements

Minimum Education Requirement:

LVN or clinical nursing experience preferred.

Minimum Experience Requirement:

A minimum of three years nursing experience required. Knowledge of government payer guidelines, third party administrators, appeals and claims. Knowledge of coding and billing. Clinical knowledge needed to effectively interact with all levels of health care providers. Good written and verbal communication skills. Proficiency with Microsoft Office products. Excellent customer service skills required.

Minimum License Requirement:

Delivering world-class health care one patient at a time.