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RI / Nurse Auditor - Bayshore Medical Center

Job Snapshot
Location:
Houston, TX 77501
Employee Type:
Full-Time
Industry:
Healthcare - Health Services
Manages Others:
No
Job Type:
Health Care
Nurse
Education:
2 Year Degree
Experience:
Not Specified
Post Date:
11/6/2009
Description
    Join our team as a Nurse Auditor located at Bayshore Medical Center!

    This position is responsible for assisting in resolving billing edits that are holding patient claims from billing, by reviewing medical records and other applicable documentation.
  • Maintain the integrity of facility Charge Description Master (CDM) and Revenue Integrity Systems Program.

General Responsibilities:
  • Develop and coordinate educational in-service to the Business Office staff and Ancillary staff related to charging and billing issues.
  • Review denial trends for documentation or charging issues opportunities; review high charge stays/procedures for charging accuracy.
  • Interact with Charge Master Liaisons and Patient Access Directors to obtain additional information needed to properly bill account based on medical record.
  • Perform other related functions as assigned.
Requirements
  • Associate Degree in Nursing or LPN required. Registered Nurse preferred.
  • Healthcare experience required.
  • Current State of TX licensure as a Registered Nurse or Licensed Vocational Nurse.
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