Compliance Nurse Specialist

3 weeks ago


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

About the Role

As a Compliance Nurse Specialist at Bethesda Health, you will play a critical role in ensuring the accuracy and integrity of our medical billing documentation. Your expertise will help us maintain compliance with third-party billing regulations and standards, particularly Medicare and Medicaid.

Key Responsibilities

Conduct audits of medical billing documentation to ensure accuracy and compliance with regulations. Communicate findings to management and billing staff, and provide education on best practices and regulatory requirements. Assist in the development and implementation of policies and procedures to ensure compliance. 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/teaching adults preferred. Software skills in Word, Excel, Power Point or equivalent required. Basic knowledge of and experience utilizing a personal computer. Verbal and written communication skills. Excellent 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 is a leading provider of long-term care services, dedicated to improving the lives of others. As a team member, you'll enjoy great benefits, career advancement opportunities, and a supportive work environment. Join our team and make a difference in the lives of our residents and their families.
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