RN Nurse Auditor

Job Summary

A company is looking for a Nurse Auditor to join its Revenue Integrity team in a PRN position.

Key Responsibilities:

• Perform various audit services including charge audits, compliance audits, and reviews of medical necessity
• Review and analyze client billing statements and medical records to identify billing discrepancies
• Adhere to healthcare billing audit guidelines and compliance policies while executing duties

Required Qualifications:

• RN Certification
• EPIC experience required
• Experience writing appeals required
• Previous clinical experience in a hospital acute care facility
• Understanding of hospital charging policies