RN Charge Auditor
3 weeks ago
Job Summary:
Ascension Wisconsin is seeking a skilled RN Charge Auditor to join our team. As a RN Charge Auditor, you will be responsible for coordinating payer denials and appeals, responding to insurance company requests for medical records, and performing medical record reviews.
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 works with payers to ensure timely handling of these payer audits.
- Review technical payer denials and determines whether an appeal is justified. 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:
- Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or job transfer date required. Licensure from the Wisconsin Board of Nursing OR current home state license if considered multi-state/Compact State.
- Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.
About Ascension:
Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that allow you to create a career path you love, all while delivering compassionate, personalized care to the communities we serve.
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.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community.
Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
Equal Employment Opportunity Employer
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