Charlotte, NC, United States
Job ID: 62288
Job Family: Nursing
Status: Full Time
Detailed Shift and Schedule: M-F
Job Type: Regular
Department Name: 41011008040501-Administration
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Job SummarySupports the pre-billing review of claims for all payors to ensure that appropriate, compliant and timely billing occurs for assigned branch locations. Conducts both clinical and/or technical audits as prescribed by branch policy & procedure and as directed by leadership. Maintains current knowledge on billing compliance requirements for payors. Provides organizational and branch leadership with timely reports, updates and recommendations for educational opportunities as it relates to audit outcomes. Acts as the liaison with the Branch Leadership and Billing Dept. and participates in regularly established communication/meetings with the branch to ensure timely month-end close.
Works in an office environment. Requires long periods of sitting and computer work. May periodically drives to and from branches and/or regional meetings in varied weather and traffic conditions.
Graduate of an accredited school of nursing required. BSN required. RN candidates for external hire or internal promotion without BSN must be enrolled in a BSN program within one year of Hire/Transfer date and must complete program within 3 years of enrollment in the program. 1-year service line nursing experience required. 2-3 years auditing/healthcare reimbursement experience preferred. Strong computer skills, proficient in Microsoft applications, ability to problem solve, analyze and communicate effectively, critical thinking skills. Work related to healthcare compliance preferred. Coding experience preferred. Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works. Additional education, training, certifications, or experience may be required within the department by the nurse leader.
Education, Experience and Certifications