RN Care Specialist

1 week ago


Creve Coeur, Missouri, United States Bethesda Health Full time
Bethesda Health: A Leader in Long-Term Care

We are seeking a highly skilled Medical Billing Auditor to join our team at Bethesda Health. As a leading provider of long-term care services, we are committed to delivering exceptional care and support to our residents and their families.

Job Summary

The successful candidate will be responsible for conducting thorough audits of medical billing documentation to ensure compliance with third-party regulations and standards. This will involve reviewing medical records, identifying areas for improvement, and providing education and training to clinicians and billing staff.

Key Responsibilities
  • Conduct internal audits of medical documentation supporting claims billed to third parties
  • Assist in education of clinicians and billing staff to support compliance with third-party documentation and billing standards
  • Prepare written reports of audit results and present to management and billing staff with recommended corrective actions
  • Respond to questions from nursing and billing staff regarding billing, coding, and documentation
  • Work on joint projects with other 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
About Bethesda Health

Bethesda Health is a leading provider of long-term care services, dedicated to improving the lives of others. Our team of over 1,200 employees is committed to delivering exceptional care and support to our residents and their families. We offer a range of benefits, including 403b, daily pay, bonuses, career advancement opportunities, and holiday pay.


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