Nurse Auditor - Revenue Integrity (Remote in Wisconsin)
About the position
Responsibilities
• Review medical records for proper coding of assigned specialties.
• Act as a liaison providing guidance on coding and Medicare/Medicaid policy issues.
• Develop payor or Recovery Audit Contractors (RAC) appeals correspondence materials.
Requirements
• Nursing diploma or Associate’s degree in nursing.
• Three years’ experience in a medical setting or medical business office.
• Demonstrated knowledge of surgical and medical procedures.
• Strong written and verbal communication skills.
• Demonstrated knowledge of Microsoft Office Suite.
• Registered Nurse license awarded by the State of Wisconsin.
• Coding certification awarded by AAPC, AHIMA, or other approved coding certification must be obtained within three years of hire.
Nice-to-haves
• Bachelor’s degree in nursing.
• Demonstrated knowledge of CPT, ICD-9/ICD-10, and HCPCS coding.
• Demonstrated knowledge of Inter-qual criteria.
• Current coding certification awarded by AAPC, AHIMA, or other approved coding certification at time of hire.
Benefits
• Level 1 benefit package for positions listed as 30 hours per week or greater.
• Level 2 benefit package for positions listed as 20 – 29 hours per week.
• Non-benefited for positions listed as less than 19 hours per week.
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