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RI / Nurse Auditor - Houston

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Job Snapshot
Location:
Houston, TX 77072
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 Shared Service - Houston!

    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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