Hospital Bill Audit Nurse
7 days ago
The Hospital Bill Audit Nurse is responsible for conducting thorough and accurate audits of hospital bills to ensure compliance with industry guidelines and regulations. This role requires a strong understanding of medical billing and coding, as well as excellent analytical and communication skills.
Key Responsibilities:- Conduct audits of hospital bills to identify overcharges, undercharges, and unbundled items
- Review medical records to verify services were provided and charges are accurate
- Identify discrepancies and document findings using standard documentation guidelines
- Communicate audit results to stakeholders and provide recommendations for improvement
- Stay up-to-date with industry guidelines and regulations, including HIPAA and CMS requirements
- Associate Degree in Nursing or higher required
- Current licensure as a Registered Nurse in the state of employment
- Previous experience in medical bill audit or a related field highly preferred
- Strong analytical and communication skills
- Ability to work independently and as part of a team
- Competitive salary range: $60,846 - $90,940
- Comprehensive benefits package, including medical, dental, and vision insurance
- 401(k) and ROTH 401(k) retirement plans
- Flexible paid time off
CorVel is an Equal Opportunity Employer and complies with ADA regulations as applicable.
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