RN Care Specialist

3 days ago


Creve Coeur, Missouri, United States Bethesda Health Full time
About the Role

Bethesda Health is seeking a highly skilled RN Care Specialist to join our team as a Medical Billing Auditor. In this role, you will be responsible for conducting audits of medical billing documentation to ensure compliance with regulatory standards.

Key Responsibilities
  • Conduct internal audits of medical documentation to ensure accuracy and compliance with regulatory standards.
  • Assist in education of clinicians and billing staff on compliance with third-party documentation and billing standards.
  • Prepare written reports of audit results and present to management and billing staff with recommended corrective actions.
  • Respond to questions from nursing and billing staff regarding billing, coding, and documentation.
  • Collaborate with internal compliance staff to resolve billing and documentation issues.
Requirements
  • Registered nurse with a bachelor's degree preferred.
  • Active RN license in Missouri and Illinois, or willingness to obtain as soon as possible.
  • Two years of long-term care experience, with at least one year as an MDS Coordinator.
  • Acute care experience highly desirable.
  • Knowledge of Medicare and Medicaid required.
  • Experience training/teaching adults preferred.
  • Software skills in Word, Excel, PowerPoint, or equivalent required.
  • Basic knowledge of and experience utilizing a personal computer.
  • Verbal and written communication skills.
  • Excellent interpersonal and organizational skills.
  • Manual dexterity, coordination, and skillful use of hands for working with required equipment.
  • Ability to receive and express detailed information through oral communication, visual acuity.
  • Ability to read and understand written directions.
About Bethesda Health

Bethesda Health is a leading provider of healthcare services, dedicated to improving the lives of others. Our team of over 1,200 employees is committed to delivering exceptional care and service to our patients and communities.


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