Clinical Charge Audit Analyst - RN

Chesapeake, VA
Dec 19, 2016
Jun 05, 2017
Healthcare, Other
Full Time
Job Description:
Sentara Revenue Management in Chesapeake, Virginia is seeking a Nurse Auditor-RN to work Full time Day Shift
Associates Degree in Nursing Required

The clinical charge audit analyst performs detailed audits of medical records for Sentara facilities to help improve the financial performance of the business units. The clinical charge audit analyst is a direct link between the financial department and the clinical care services.

Education Level
Associate's Level Degree - NURSING

Required: Computer/Keyboard Skills - Previous experience, Healthcare - 5 years, Managed Care Management - Previous experience, Medicare/Medicaid Billing - Previous experience

Preferred: None, unless noted in the “Other” section below

Required: Registered Nurse

Preferred: Cert Professional Coder

Required: Accounting/Auditing, Active Listening, Coding, Communication, Complex Problem Solving, Critical Thinking, Judgment and Decision Making, Mgmt of Financial Resources, Microsoft Office, Monitoring, Quality Control Analysis, Reading Comprehension, Service Orientation, Systems Analysis, Systems Evaluation, Technology/Computer, Time Management

Preferred: None, unless noted in the “Other” section below

Previous healthcare auditing experience preferred.; Working knowledge of CPT-4, ICD-9, HCPCS coding methodologies; Understanding of billing and auditing terms (i.e. HMO/PP/EOB, Stop Loss, etc.) and payment methodologies; Travel to other system facilities required.

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