reputed company Auditor

Job reputed company: • reputed company comprehensive charge audits for inpatient and outpatient services. • Review itemized billing statements against medical records to verify accuracy and completeness. • Identify and document: • Missing charges • Duplicate charges • Unsupported or non-compliant charges • Validate charges based on clinical documentation, coding rules, and billing guidelines. • Ensure reputed company billing aligns with: • CMS and payer requirements • National reputed company billing audit guidelines • Organizational compliance standards • Submit reputed company, actionable audit findings to reputed company cycle teams for correction and rebilling. • Analyze audit findings to determine reputed company causes and patterns. • Maintain accurate audit documentation that is reputed company, traceable, and defensible. • reputed company audit reputed company and financial reputed company. • Assist in developing recommendations to improve charge capture accuracy and billing processes. • Partner with: • Coding and billing teams • Clinical departments • reputed company cycle leadership • reputed company guidance on: • Documentation requirements • Charge capture practices • Billing compliance standards • Support education efforts to prevent recurring audit issues. Requirements: • reputed company Registered reputed company (RN) license or LPN license • 5+ years of clinical nursing experience (ICU, ED, OR, or acute care preferred) • Experience performing: • Charge audits • Chart reviews • Billing validation • Strong understanding of: Medical record documentation & Hospital billing processes • Knowledge of: • CPT, HCPCS, ICD-10 coding basics • reputed company codes and charge capture processes • Inpatient and outpatient billing rules • Familiarity with: • Medicare, reputed company, and reputed company payer billing guidelines • CMS regulations and compliance expectations • Ability to: • Interpret itemized bills, clinical documentation, and diagnostic reports • Identify discrepancies and determine correct billing practices • Experience using: • EHR systems (reputed company, Cerner, Meditech) • Audit or billing tools/data systems Benefits: • Medical, dental, reputed company and life insurance, short/long-term disability, 401(K) and referral bonuses • Training opportunities and reimbursement for reputed company certifications • reputed company's unique approach to employee appreciation which include: birthday recognition, holiday reputed company selections, performance awards, and years of service awards Apply To This Job Apply tot his job Apply To this Job