Atlantic Health System Revenue Integrity Nurse Auditor in Morristown, New Jersey
Atlantic Health is seeking a full time RN Billing Compliance in Revenue Integrity to work at our corporate office in Morristown.
Ensure that services are ordered by a physician consistent with industry standards and provided to the patient according to hospital policies/protocol, documented in the medical record, and charged correctly.
Audit medical records and billing documents for appropriate documentation of (ICD-10 CM, CPT and HCPCS) coding and billing charges.
Enter departmental charges and/or credits as appropriate based on audit findings.
Prepare weekly and monthly summary reports of audit findings.
Provide educational programs to physicians and clinical departments to help reduce lost revenue and improve documentation.
Participate and develop internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems and implementing solutions.
Perform departmental audits to ensure billing procedures follow the Organization's and regulatory guidelines. Report results back to department managers and work with department to correct the process and implement solutions.
Must have ability to reason and communicate both written and verbal.
Excellent problem solving skills.
Registered Nurse (BSN preferred)
Minimum of 5 years clinical experience
Auditing experience preferably with a healthcare organization or insurance company
Case Manager and/or coding experience a plus
Working knowledge of medical terminology, patient care services and medical record chart documentation
Position Type Full-Time
Department 0118209 - Revenue Integrity
Facility Corporate Office - Morristown