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RN-Revenue Integrity II

Lake Cumberland Regional Hospital
Somerset, KY Full Time
POSTED ON 1/29/2025
AVAILABLE BEFORE 2/27/2025

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.

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