RN-Revenue Integrity II

Job Description:

Auditing and Reimbursement Specialist

About the Role:

We are seeking a skilled Auditing and Reimbursement Specialist to conduct routine chart audits, communicate effectively with various departments, and coordinate outside audits. As an expert in reimbursement functions, you will play a critical role in ensuring accurate and efficient financial operations.

Key Responsibilities:

• Conduct routine chart audits to identify problematic areas and improvement needs
• Communicate effectively through reporting, meetings, and email to inform all applicable departments and Administration of findings
• Coordinate outside audits and act as an expert in charge and reimbursement functions

Requirements:

• Licenses/Certifications:
• Registered Nurse (RN)
• Current RN licensure to practice in Kentucky or multistate compact status
• Certification:
• RN-Coder Stat Program Course completion from the American Association of Clinical Coders & Auditors (AACCA)
• Annual AACCA membership
• Successful re-certification through AACCA every 2 years
• Skills:
• Critical thinking skills
• Decisive judgment
• Ability to work with minimal supervision
• Stress tolerance and appropriate action-taking
• Language Skills:
• Effective communication in English (verbal and written)
• Work Experience:
• Minimum 2 years experience in insurance office or physicians office
• 3 years general office experience

About Us:

{company} is an equal opportunity and affirmative action employer committed to diversity in candidates for employment. Minority/Female/Disabled/Protected Veteran candidates are encouraged to apply.