Hospital Bill Audit Nurse

7 days ago


Fort Worth, Texas, United States CorVel Full time
Job Title: Hospital Bill Audit Nurse

The Hospital Bill Audit Nurse plays a crucial role in ensuring the accuracy and integrity of hospital billing and charging practices. This position requires a strong understanding of hospital billing and charging, including UB-04's, itemized bills, revenue codes, CPT/HCPCS codes, and ICD10 diagnosis and procedure codes.

Key Responsibilities:
  • Conduct thorough reviews of medical records to verify services were provided and charges are accurate
  • Identify overcharges, undercharges, unbundled items, errors, duplicates, and routine services, equipment, and supplies
  • Document all unsupported charges identified in the course of an audit for each case
  • Report any problems in the audit process to the manager and/or supervisor for resolution
  • Comply with all HIPAA and other regulations regarding the confidentiality of patient information
Requirements:
  • Associate Degree in Nursing or higher required
  • Must maintain current licensure as a Registered Nurse in the state of employment
  • Previous external or internal medical bill audit experience highly preferred
  • Minimum of 5 years' experience in the OR, ICU, or ER as an RN highly preferred
What We Offer:

CorVel offers a comprehensive benefits package, including medical, dental, vision, long-term disability, health savings account, flexible spending account options, life insurance, accident insurance, critical illness insurance, pre-paid legal insurance, parking and transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug-free workplace, and complies with ADA regulations as applicable.



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