Clinical Nurse Specialist

4 days ago


Creve Coeur, Missouri, United States Bethesda Health Full time
Bethesda Health: A Leader in Healthcare Excellence

At Bethesda Health, we strive to deliver exceptional care to our patients and communities. As a key member of our team, you will play a vital role in ensuring the accuracy and compliance of our medical billing processes.

Job Summary

We are seeking a highly skilled Clinical Registered Nurse to join our team as a Medical Billing Auditor. In this role, you will be responsible for conducting thorough audits of medical billing documentation to ensure compliance with third-party regulations and standards.

Key Responsibilities
  • Conduct audits of medical billing documentation to ensure accuracy and compliance
  • Communicate findings to management and billing staff
  • 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
  • Respond to questions from nursing and billing staff on 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 willing to obtain as soon as possible
  • Two years of Long-Term care experience, with at least one year as 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

We offer a competitive benefits package, including 403b, daily pay, bonuses, career advancement opportunities, and holiday pay. Medical, dental, vision, prescription, and life insurance are available for regular status full and part-time employees.



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