Remote Nurse Auditor / CDM Revenue Integrity Analyst | WFH

Remote Full-time
Job Overview

Are you an accomplished healthcare professional with a strong background in coding, auditing, and revenue integrity? We invite you to become an integral member of our esteemed team as a Nurse Auditor / Revenue Integrity & CDM Analyst. In this fully remote role, you will be pivotal in ensuring precise billing, compliance, and the optimization of revenue streams.

Key Responsibilities

As a Nurse Auditor / Revenue Integrity & CDM Analyst, your tasks will include:

  • Conducting audits of itemized charges against patient medical records and other hospital documentation.
  • Assigning appropriate HCPCS codes and modifiers to claims while ensuring adherence to medical necessity requirements.
  • Collaborating with billing personnel to address coding-related inquiries and provide expert guidance.
  • Partnering directly with revenue-generating departments to rectify lost charges, respond to billing questions, and offer education on effective charge capture.
  • Assisting with the maintenance, research, and updates of the Charge Description Master (CDM).
  • Reviewing observation accounts to ensure precise charge coding for services like ED visits, injections, infusions, and extended recovery care.

Required Skills

To excel in this role, candidates should possess:

  • Exceptional attention to detail and accuracy.
  • Strong written and verbal communication skills.
  • The ability to work independently and efficiently in a remote environment.

Qualifications

  • Demonstrated expertise in revenue integrity, nurse audits, coding, or charge master functions within a hospital context.
  • Strong coding proficiency, verified through a competency assessment or extensive clinical nursing experience in ICU, ED, or as a documentation specialist.
  • Familiarity with health information systems and advanced computer skills.
  • A Bachelor of Science in Nursing (BSN) is preferred.

Career Growth Opportunities

By joining our organization, you will be part of a respected institution that values professional development and offers numerous opportunities for advancement within the healthcare field.

Company Culture and Values

We pride ourselves on maintaining a reputable and stable organizational environment that places great importance on our employees. Our collaborative culture is geared towards enhancing revenue integrity and compliance, creating a supportive atmosphere for all team members.

Compensation And Benefits

  • Pay Range: (40.00 - )42.00 per hour.
  • Comprehensive benefits package including medical, dental, and vision coverage.
  • Life and disability insurance options.
  • Critical illness, accident, and hospital benefits.
  • Health Spending Account (HSA).
  • 401(k) Retirement Plan with both pre-tax and Roth post-tax contributions.
  • Employee Assistance Program (EAP).
  • Generous PTO, vacation, and sick leave.

Application Details

  • Deadline to Apply: December 13, 2024.

Employment Type: Contractor

Apply Now
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