Revenue Optimization Nurse Auditor

3 weeks ago


Albany, New York, United States Trinity Health Full time
Join Our Team as a Revenue Optimization Nurse Auditor

Trinity Health is seeking a highly skilled Revenue Optimization Nurse Auditor to join our team. As a key member of our revenue integrity team, you will play a critical role in ensuring accurate and timely reimbursement for our patients.

About the Role:
  • Conduct Audits: Perform monthly internal charge audits to ensure charging integrity and identify opportunities for revenue optimization.
  • Denial Management: Investigate and resolve denials, ensuring timely attention to claims and maximizing reimbursement.
  • Collaboration: Work closely with multidisciplinary teams, including physicians and other clinical professionals, to ensure seamless communication and effective problem-solving.
What We Offer:
  • Bachelor's Degree in Nursing or related field
  • At least 4 years of nursing experience, including 2 years of utilization review/case management, managed care, or comparable patient payment processing experience
  • Demonstrated knowledge of revenue cycle and denial management functions
  • Competitive salary and benefits package

Estimated Salary: $44,000 - $64,000 per year. Pay is based on experience, skills, and education.



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