ICU RN Auditor

Overview Hybrid - Taguig | 5-10 Yrs Exp | Bachelor | Full-time Job title: ICU RN Auditor Work set-up: Hybrid in Taguig Work shift: Mid-shift Job Description We are seeking a detail-oriented and experienced ICU RN Auditor to review and assess medical records, coding accuracy, and documentation compliance in intensive care unit (ICU) settings. The ideal candidate will have a strong background in critical care nursing, medical auditing, and regulatory compliance to ensure adherence to healthcare standards and best practices. Responsibilities Conduct audits of ICU patient records to assess accuracy, completeness, and compliance with medical guidelines and policies. Evaluate documentation for proper coding, billing, and reimbursement alignment with healthcare regulations. Identify discrepancies, errors, and areas for improvement in ICU charting and clinical documentation. Collaborate with healthcare teams, physicians, and administrative staff to provide feedback and recommendations for documentation improvement. Ensure adherence to hospital policies, CMS guidelines, and other regulatory requirements. Prepare detailed audit reports, including findings, trends, and recommendations. Assist in developing training programs for ICU nurses and medical staff to improve documentation accuracy. Stay up to date with healthcare regulations, coding changes (ICD-10, CPT), and best practices in medical auditing. Qualifications Minimum 5 years experience in Post Payment Claims Auditing or ICU RN Auditor and 5-10 years experience on ICU/CCU nursing experience Exposed to ICU experience such as local/international bedside/hospital setting Has the following experience in ICU: reading patient’s record, auditing, assessment, claims, appeals, denials Has the understanding of ICD 9/10, CPT/HCPCS coding, DRG guidelines, correct coding initiative, revenue codes, modifiers and APC reimbursement PHRN English Language Medical Insurance Processing Strong Work Ethic Outbound Call Location & Advisory Preview HR Manager Go-Get Data Consultancy Active within seven days Working Location If the position requires you to work overseas, please be vigilant and beware of fraud. If you encounter an employer who has the following actions during your job search, please report it immediately withholds your ID, requires you to provide a guarantee or collects property, #J-18808-Ljbffr