Nurse Billing Auditor (full Time / Days)

Overlake Hospital Medical Center

Unknown, Unknown, US
Hourly $47.95 - $71.93; bonus/equity: not specifie...
Cms recovery audit contractor program
Commercial payer audits
Charge capture auditing
Responsible for the coordination of all procedural and substantive elements relating to the Centers for Medicare & Medicaid (CMS) Recovery Audit Contractor (RAC) program, commercial payer audits and charge capture auditing

Job Summary

  • Responsible for the coordination of all procedural and substantive elements relating to the Centers for Medicare & Medicaid (CMS) Recovery Audit Contractor (RAC) program, commercial payer audits and charge capture auditing.
  • Serve as a clinical expert on medical necessity criteria, inpatient/observation criteria, and emergency services criteria.
  • We're proud to offer benefits that support you in every stage of your career and life.

Matching Summary

Responsible for the coordination of all procedural and substantive elements relating to the Centers for Medicare & Medicaid (CMS) Recovery Audit Contractor (RAC) program, commercial payer audits and charge capture auditing.

Salary

Hourly $47.95 - $71.93; Bonus/Equity: Not specified; Benefits: Medical insurance premiums as low as $0 per month, Many Overlake services covered at 100%, Tuition reimbursement up to $10,000 per year, Generous retirement plan matching, Expanded EAP

Skills & Requirements

Must-have

  • CMS Recovery Audit Contractor program
  • commercial payer audits
  • charge capture auditing
  • clinical payment denials
  • medical necessity criteria
  • inpatient/observation criteria
  • emergency services criteria

Nice-to-have

  • inspirational culture
  • values-based work environment
  • local visible leaders
  • caregiver support program

Key Requirements

  • Associate’s degree in nursing required
  • Bachelor's degree in nursing preferred
  • Current RN licensure in Washington State
  • Minimum five years acute care nursing experience

Work Rights

Not specified

Tailored Resume

Cover Letter