Nurse Auditor

2 weeks ago


Nashville TN, United States Ascension Full time

Department: Patient Accounting
Schedule: Full-time, Day Shift, 40 hours per week 
Hospital: Please make an application promptly if you are a good match for this role due to high levels of interest.
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community  
*Travel, PRN, Short-Term Option, etc.). Responsibilities Coordinate payer denials and appeals, respond to insurance company requests for medical records, and perform medical record reviews.
Review medical records to determine accuracy of billing through verification of coding, billing and supporting clinical documentation.
Coordinate all activities associated with insurance carrier audit requests and work with payers to ensure timely handling of these payer audits.
Write and track technical appeal letters and relay information with billing department.
Conduct audits to ensure accurate charge capture, enhance reimbursement and identify savings potential.
Requirements Licensure / Certification / Registration:
Registered Nurse credentialed from the Tennessee Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date.

Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.

Why Join Our Team Ascension Saint Thomas in Tennessee is one of the largest healthcare providers in the state. Offering rewarding careers across 12 hospital campuses and a comprehensive network of affiliated joint ventures, medical practices, clinics, and rehabilitation facilities, you will find an environment that allows you to thrive and create a career path you love. As we continue to grow, we need compassionate caregivers, like you, to join us and influence care across our communities.
 
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
 
Every associate is empowered to give back, volunteer and make a positive impact in their community. Equal Employment Opportunity Employer Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.
 
For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
 
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Ascension will not solicit money or banking information from applicants.
 


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