Hospital Bill Audit Nurse

6 days ago


Fort Worth, Texas, United States CorVel Full time
Job Summary

We are seeking a highly skilled and detail-oriented Hospital Bill Audit Nurse to join our team at CorVel. As a Clinical Claims Auditor, you will be responsible for conducting thorough reviews of hospital bills to ensure accuracy and compliance with industry guidelines.

Key Responsibilities
  • Conduct audits of hospital bills to identify overcharges, undercharges, and unbundled items
  • Review medical records to verify services were provided and charges are accurate
  • Document findings and discrepancies using standard documentation guidelines
  • Communicate with healthcare providers and payors to resolve audit findings
  • Stay up-to-date with industry guidelines and regulations, including HIPAA and CMS requirements
Requirements
  • Associate Degree in Nursing or higher required
  • Current licensure as a Registered Nurse in the state of employment
  • Minimum 5 years' experience in the OR, ICU, or ER as an RN
  • Previous external or internal medical bill audit experience highly preferred
What We Offer
  • A competitive salary range of $60,846 - $90,940
  • A comprehensive benefits package, including medical, dental, vision, and 401(k) matching
  • Opportunities for career advancement and professional growth
About CorVel

CorVel is a leading provider of risk management solutions, dedicated to delivering exceptional service and value to our clients. We are a stable and growing company with a strong, supportive culture and a commitment to excellence.



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