Nurse Billing Auditor (full Time / Days)

Overlake Hospital Medical Center

Bellevue, WA, United States
Hourly: $47.95 - $71.93; bonus/equity: not specifi...
Full time / days
Coordination of cms rac program activities
Reviewing clinical documentation for charge accuracy
Defending accounts against payer denials
Overlake Hospital Medical Center is seeking a Nurse Billing Auditor to coordinate elements related to audits and reimbursement processes, particularly for Medicare and Medicaid. The ideal candidate should possess an Associate’s degree in nursing, a valid RN license in Washington, and at least five years of acute care nursing experience

Job Summary

  • The role involves coordinating all procedural elements relating to the CMS Recovery Audit Contractor program and commercial payer audits.
  • Candidates will serve as a clinical expert on medical necessity criteria to maximize reimbursement for services rendered.
  • Overlake Hospital offers benefits including medical insurance premiums as low as $0 per month and tuition reimbursement up to $10,000 annually.

Matching Summary

Match Score: 85

Overlake Hospital Medical Center is seeking a Nurse Billing Auditor to coordinate elements related to audits and reimbursement processes, particularly for Medicare and Medicaid. The ideal candidate should possess an Associate’s degree in nursing, a valid RN license in Washington, and at least five years of acute care nursing experience.

Salary

Hourly: $47.95 - $71.93; Bonus/Equity: Not specified; Benefits: Medical premiums as low as $0/month, 100% covered services, tuition reimbursement up to $10k/year

Skills & Requirements

Must-have

  • Coordination of CMS RAC program activities
  • Reviewing clinical documentation for charge accuracy
  • Defending accounts against payer denials

Nice-to-have

  • Prior utilization management experience preferred
  • Experience with commercial payer audits
  • Ability to influence improvement plans

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter