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Clinical Auditor Expert
1 week ago
Job Overview: We are seeking a Clinical Auditor Expert to join our team at Linda Hausermann & Associates.
About the Role:
The successful candidate will be responsible for auditing post payment claims and ensuring that they meet the required standards.
Key Responsibilities:
- Auditing post payment claims for accuracy and compliance
- Conducting regular audits to ensure that claims are accurate and compliant with regulations
- Maintaining up-to-date knowledge of ICD 9/10, CPT/HCPCS coding, DRG guidelines, correct coding initiative, revenue codes, modifiers, and APC reimbursement
Requirements:
- BS Nursing Graduate
- Licenses: PH RN or US RN
- Minimum 5 years experience in Post Payment Claims Auditing or as an ICU RN Auditor
- 5-10 years experience in ICU/CCU nursing
- Exposed to ICU experience in local/international bedside/hospital settings
What We Offer:
A competitive salary package and opportunities for professional growth and development.