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Nurse Auditor

Judge Healthcare is currently seeking a Nurse Auditor?
FULLY REMOTE with occasional site visit to Client in Boston, MA (so need to be located in the Boston Area)
This job will have the following responsibilities:

  • Conduct hospital bill audits to validate the charges billed by hospitals to Government client.?

  • Performs onsite audits of charts comparing medical records to billed charges.?

  • Identify any discrepancies between the submitted hospital bill and the medical records.?

  • Maintain good working relationships with Audit Leads and associated hospital personnel. Schedule hospital audit, conduct audit, comparing itemized hospital bill to the medical records, identifying over charges, under charges and disallowed charges.?

  • Obtain hospital sign-off of completed audit, prepare completed audit files. This includes preparation of final audit summary sheet, discrepancy and disallowed sheets and other audit result documentation.?

  • ?Function as a member of a self-directed team to meet specific individual metrics. Partner with all functional components of the hospital audit team.?

  • Ensure consistent application of the audit criteria. Document audit results, findings, actions, and outcomes in accordance with established guidelines.?


Qualifications & Requirements:

  • Hospice specialty; Preferred

  • 2-3 years billing/coding auditing required?

  • Massachusetts auditing experience/knowledge




Interested? Apply now or send your resume to Click Here to Email Your Resum?

 

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