Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and complications. Accurately sequences diagnoses & procedures and maintains 95% accuracy. Assigns ICD-10 and CPT Codes. Performs charge reconciliation to ensure all submitted charges are posted accurately to ensure proper compliance and proper reimbursement.
Job listings
USD/year
Seeking an experienced Nurse Auditor to join our Revenue Integrity team in a full-time position. The ideal candidate will possess clinical experience in a hospital acute care setting and experience reviewing hospital billing and charging policies. Responsibilities include performing charge, compliance, and medical necessity audits, along with analyzing patient medical records and billing statements to identify inaccuracies.