About this role
Role Overview
- Analyzes and Audits Claims
- Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities
- Performs work independently
- Effectively Utilizes Audit Tools
- Maintains production goals set by the audit operations management team
- Identifies potential claims outside of the concept where additional recoveries may be available
Requirements
- Associate or bachelor’s degree in nursing (active /unrestricted license)
- Associate or bachelor’s degree Health Information Management (RHIA or RHIT)
- Licensed Practical Nurse (LPN) (active /unrestricted license)
- Coding/CDI Certification (at least one of the following are required and are to be maintained as a condition of employment)
- 2 years of prior clinical and/or coding experience is preferred
- Basic to Intermediate knowledge of medical and coding terminology
- Proficiency in Word, Access, Excel, TEAMS, and other applications
Benefits
- medical, dental, vision, disability, and life insurance coverage
- 401(k) savings plans
- paid family leave
- 9 paid holidays per year
- 17-27 days of Paid Time Off (PTO) per year