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. Apply tot his job