The Nurse Auditor is responsible for the operational integrity of the Charge Description Master (CDM), specifically related to hospital charging, accurate technical charge capture and gross revenue management, late charge identification, and support of departmental clinical revenue reconciliation. Performs billing audits of inpatient, outpatient, and family practice accounts for governmental and commercial payers. Responsible for reviewing audits conducted by external auditors and various coding compliance.
Qualifications: RN SC License required. Minimum of 5 years prior healthcare experience required. Experience in corporate compliance reviews, auditing inpatient and outpatient charges, coding/billing reviews preferred. Prior clinical and/or coding background preferred.
Flexible hours can vary 8:30 -5 (16 hrs per week)