Appeal and Audit Nurse

Recruiter
Tower Health
Location
Reading
Salary
Competitive
Posted
13 Oct 2019
Closes
15 Oct 2019
Job role
Audit
Contract type
Permanent
Hours
Full time
Responsibilities

Job Summary– Appeal and Audit Nurse

Reports to Appeal and Audit Nurse Manager

  • Performs appeals and audits as a member of a newly created team
  • Synthesize medical information into actionable correspondence to improve reimbursement
  • Maximize use of technology to perform work for all TowerHealth Hospitals
  • Utilize clinical knowledge to impact the financial success of the organization
  • Partner with clinical service line areas to improve practices to reduce denials

#LI

Qualifications

Education Requirements

  • Accredited Registered Nurse Program (Diploma, Associates Degree or Bachelors of Nursing) (Required)
  • If Diploma or Associates Degree, Bachelors Degree in Related Field (Required)

Certification and Licensure Requirements

  • Active Registered Nurse License (Required)
  • Certified Professional Coder (CPC) (Preferred)

Experience and Skills

  • Minimum of 3 years diverse clinical experience (required), preferably in a hospital setting
  • Case Management/Utilization Review/Insurance experience (preferred)
  • Required Skills: Excellent written and verbal communication skills, Excellent interpersonal skills, Microsoft Excel, Microsoft Word

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