Compliance Nurse Specialist

2 weeks ago


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

About the Role

We are seeking a highly skilled Compliance Nurse Specialist to join our team at Bethesda Health. As a key member of our compliance team, you will play a critical role in ensuring the accuracy and integrity of our medical billing documentation.

Key Responsibilities

Conduct thorough audits of medical billing documentation to ensure compliance with third-party regulations and standards.

Identify and communicate findings to relevant personnel, with a focus on MDS auditing and best practices documentation.

Assist in educating clinicians and billing staff on compliance with third-party documentation and billing standards.

Prepare and present written reports of audit results to management and billing staff, recommending corrective actions as needed.

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 MDS Coordinator.

Acute care experience highly desirable.

Knowledge of Medicare and Medicaid required.

Experience training and teaching adults preferred.

Software skills in Word, Excel, PowerPoint, or equivalent required.

Basic knowledge of and experience utilizing a personal computer.

Excellent verbal and written communication skills.

Strong 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.

Why Join Us?

Bethesda Health offers a dynamic and supportive work environment, with opportunities for career advancement and professional growth. We are committed to providing our employees with the tools and resources they need to succeed in their roles.

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