Job Description

Nurse Auditor - Revenue Integrity

SUMMARY: Responsible for performing clinical reviews to ensure all hospital services delivered to patients are appropriately documented, coded, charged and billed. Coordinates education for hospital clinical staff on charge capture processes, as well as, provides consultation on charge capture informatics and automated workflow processes.

REQUIREMENTS: This position requires a Bachelor's Degree in Nursing as well as a valid California RN license with a minimum three (3) years related experience. Must have a broad based knowledge of hospital operations, hospital charging practices, and government coding requirements, including pediatric and Medi-Cal experience. Must have a broad based knowledge of hospital financial and clinical systems. Must possess experience in researching, interpreting and applying Medi-Cal and Medicare and other third party payer regulations. Must possess strong conceptual, problem solving and analytical skills, and the ability to work independently. Must possess strong project management, written and verbal communication skills.

POSITION DETAILS: Mon - Fri, exempt level position


Application Instructions

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