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Nurse Medical Auditor

3 months ago

Tampa, United States Tampa General Hospital Full time
Job Summary

Under general supervision and following established policies, procedures and professional guidelines, the Medical Auditor performs medical record reviews to establish the accuracy of patient billing, and to monitor departmental compliance to charge policies. Identifies and recommends corrective actions to departmental Directors when repeated errors or trends occur. Represents the hospital on issues related to billing, documentation and reimbursement with third party payers, patients and hospital personnel. Responsible for performing job duties in accordance with mission, vision and values of Tampa General Hospital.

Qualifications

  • Current RN licensure with 3 years recent clinical experience or current LPN licensure with 3 years auditing experience.
  • Medical audit experience and credentialed as a Certified Medical Audit Specialist (CMAS) from American Association of Medical Audit Specialists (AAMAS) preferred.
  • Completion of the certification program within 2 years of hire is required.