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RN Charge Auditor Women's Health

Company: Ascension
Location: Murfreesboro
Posted on: February 13, 2019

Job Description:

We Are Hiring Employer associates are leaders who follow their heart. We give, grow, connect and provide care; together as a team we are committed to our mission of serving the poor and vulnerable. We are seeking a Registered Nurse, Charge Auditor to join our team on day shift! This is a full time position.Why Join Employer? Saint Thomas Health, part of Employer, is a family of Middle Tennessee hospitals and physician practices united by a single mission: to provide spiritually centered, holistic care that sustains and improves the health of the communities we serve. Saint Thomas Health is the leading faith-based healthcare system in Tennessee.What You Will Do In this role, you will coordinate payer denials and appeals, respond to insurance company requests for medical records, and perform medical record reviews.Additional Responsibilities:

  • Reviews medical records to determine accuracy of billing through verification of coding, billing and supporting clinical documentation.
  • Coordinates all activities associated with insurance carrier audit requests and works with payers to ensure timely handling of these payer audits.
  • Reviews technical payer denials and determines whether an appeal is justified. Writes and tracks technical appeal letters and relay information with billing department.
  • Conducts audits to ensure accurate charge capture, enhance reimbursement and identify savings potential.What You Will Need Required Credential(s):
  • One or more of the following:
  • Registered Nurse credentialed from the Tennessee Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date. Education:
    • Diploma
    • Diploma from an accredited school/college of nursing requiredWork Experience:
      • None required. Previous experience in an RN Charge Auditor role preferred.Equal Employment Opportunity Saint Thomas Health Services complies with all applicable federal and state laws prohibiting discrimination in hiring or employment practices on the basis of citizenship, race, color, religion, gender, age, national and ethnic origin, disability, or veteran status.No question or item on this application for employment is intended to secure information to be used for such discrimination. Information obtained through this application will be used solely to determine qualifications and suitability for employment. This application will be valid for a period of 90 days from date of completion. Please note that Employer will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Employer will not solicit money or banking information from applicants.E-Verify Statement Saint Thomas Health participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. (link to E-verify site)

        Keywords: Ascension, Murfreesboro , RN Charge Auditor Women's Health, Accounting, Auditing , Murfreesboro, Tennessee

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