Nurse Auditor

Nurse Auditor / Revenue Integrity CDM Analyst

Location: Fully remote - Must be within 2 hours of Chesapeake, VA

Experience Level: Expert

Employment Type: 6 month contract to hire (permanent)

Salary: $40hr

Hours: M-F Flexible between 6am-6pm (must work full 8 hr shift)

Job Description:

Summary:

With direction from the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/ CDM Analyst is responsible for performing audits of itemized charges versus the patient medical record and other applicable hospital documentation, assigning modifiers to appropriate claims, researching edited claims for medical necessity, and advising the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor/ Revenue Integrity/ CDM Analyst works directly with revenue producing departments regarding lost charges, billing questions, proper coding and charging, education on appropriate charge capture and providing CDM support, research and maintenance of the Charge Description Master. The nurse auditor/CDM analyst reviews documentation on all Observation accounts for carve-out observation hours, extended recovery, the charge coding of ED Visits and Injection and Infusion charges.

Benefits of this Role:

• Weekly paychecks
• Great benefits including medical and dental
• Employment with a stable and reputable company

Required experience:

·      Revenue Integrity, Coding, Nurse Audit, RN, Coder, Charge Master - within a hospital setting

Additional Skills & Qualifications:

Preferred Education: Bachelor of Science in Nursing preferred

Experience: Expert Level Coding experience in an acute hospital setting required, with coding ability demonstrated via a skills assessment or a RN with extensive experience as an intensive care unit, emergency department or documentation specialist nurse auditor or an LPN with a combined coding and auditing experience. Experience with health information systems and computer technology required. Ability to communicate effectively, both verbally and written format. Must be able to work independently with attention to detail and accuracy

Benefits:

• Medical, dental & vision

• Critical Illness, Accident, and Hospital

• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available

• Life Insurance (Voluntary Life & AD&D for the employee and dependents)

• Short and long-term disability

• Health Spending Account (HSA)

• Transportation benefits

• Employee Assistance Program

• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position - equipment is provided

Pay and Benefits

The pay range for this position is $40.00 - $42.00

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position will be accepting applications until Dec 13, 2024.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.