A company is looking for a Nurse Auditor - Revenue Integrity (Remote in Wisconsin).
Key Responsibilities
Review medical records to ensure proper coding for assigned specialties
Provide guidance to physicians and staff regarding coding and Medicare / Medicaid policies
Develop appeals correspondence materials for payors or Recovery Audit Contractors
Required Qualifications, Training, and Education
Nursing diploma or Associate's degree in nursing required; Bachelor's degree preferred
Minimum of three years' experience in a medical setting or medical business office
Registered Nurse license from the State of Wisconsin required
Coding certification from AAPC, AHIMA, or an approved entity must be obtained within three years of hire
Knowledge of CPT, ICD-9 / ICD-10, and HCPCS coding preferred
Auditor • Oxnard, California, United States