Atlantic Health System Revenue Integrity Nurse Auditor in Morristown, New Jersey

Overview

Atlantic Health is seeking a full time RN Billing Compliance in Revenue Integrity to work at our corporate office in Morristown.

Responsibilities

Essential Functions:

  • 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.

Qualifications

Qualifications:

  • 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

Shift Days

Category Professional

Department 0118209 - Revenue Integrity

Facility Corporate Office - Morristown