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  • Ocala, FL

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Revenue Integrity RN Auditor - Business Office - FT - Days

CHS Demo • Ocala, FL

Posted 4 days ago

Job Snapshot

Degree - 4 Year Degree
Healthcare - Health Services
Health Care

Job Description

MunroeRegional Medical Center is your community healthcare provider:  a 421-bed facility that offers inpatient,outpatient, medical, surgical and emergency care. Munroe Regional MedicalCenter is accredited by the Joint Commission and features a certified ChestPain Center with specific accreditations for atrial fibrillation and heartfailure. We are continually growing to offer the latest in technology andservices.

Munroe Regional Medical Center is committed to highquality service and operational excellence while delivering exceptional care toour family, our community. Our commitmentto excellence does not stop with our patients. We offer team members the most rewarding careers, comprehensivebenefits, competitive pay, and, the opportunity to make a difference in thecare we offer each of our patients.
TheRevenue Integrity RN Audit representative is responsible for auditing chargesto ensure that documentation supports billing; performs insurance audits aswell as routine audits as required by corporate policy to ensure appropriatecharging by ancillary departments. Communicates all audit findings with the necessary parties and worksvery closely with external auditors to resolve discrepancies.  They work with various departments to ensureappropriate charge capture and documentation, including HIM, Case Management,Billing, and physicians.  This positionworks very closely with the billing department to assist with claims that editwithin the scrubber which need clinical attention to resolve edits.

Job Requirements

  • •        Associatesdegree in nursing is required. Bachelor's degree in nursing is preferred.
  • •        5 years asan RN and 5 years in an HIM or Billing Office is required.  
  • •        Basicknowledge of CPT, ICD-10, HCPCS is preferred.
  • •        RN Licensein good standing
Job ID: 1769478
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