Nurse Auditor
Location: Seattle, Washington
Description: Swedish Medical Center - Seattle, WA is at present recruited Nurse Auditor right now, this career will be hold in Washington. For detail informations about this career opportunity kindly see the descriptions.
Description:
Where you work matters! Swedish is looking for a Nurse Auditor to work in the Billing Office at Metropolitan Park East in Seattle, WA.
The Nurse Auditor is responsible for scheduling audits, meeting with auditors, posting audit findings, comprising quarterly reports of audit results, acting as a resource for patient financial services staff, and meeting with patients and/or family who have concerns about their bill/charges.
In this position you will:
- Write appeals on denied claims.
- Analyze chart and split claims as needed.
- Work account and claim edit work queues as needed.
- Perform quarterly CARF (Commission on Accreditation of Rehabilitation Facility) audits.
- Verify charges on High dollar Medicare Claims.
- Perform defense audits to satisfactory resolution.
- Conduct research and analyze coding and charge errors, and works with HIM and departments to resolve such errors.
- Stay informed of new and/or changing regulations as well as payer policy time limits, and incorporate updates into daily operations.
- Resolve issues holding up timely claim payment, including requests for medical records, coordin ation with Billing staff.
Qualifications:
Required qualifications for this position include:
- Nursing Baccalaureate degree (BSN) from an accredited school of nursing required. Applicants without a BSN degree must actively pursue and attain a BSN within five years of hire.
- Current license to practice as a registered nurse in the State of Washington
- Two years prior clinical experience
Preferred qualifications for this position include:
- Working knowledge of EPIC medical records and a broad range of clinical experience
- Experience working in an acute setting
- Experience researching and analyzing coding and charge or claim edits
- ICU or Emergency room experience
- Case Management and writing appeals experience
- Experience with researching and analyzing coding and charge or claim edits
About Swedish Shared Services
Swedish is the largest, most comprehensive, nonprofit health provider in the Greater Seattle area. Our expanding network of facilities currently includes three hospital locations in Seattle, a hospital in Edmonds and the new Swedish Issaquah campus. It also consists of Swedish Medical Group’s network of primary care clinics, and affiliations with suburban hospitals and specialty clinics throughout Greater Seattle.
Each campus has a local operations leadership team, supported by centrally located and led corporate services, such as Human Resources, Financial and Information Services.
We offer a full comprehensive range of benefits â€" see our website for details
https://caregiver.ehr.com
Our Mission
Our Non-Profit Mission: Improve the health and well-being of each person we serve.
About Us
Swedish is the largest nonprofit health care provider in the Greater Seattle Area. It is comprised of five hospital campuses (First Hill, Cherry Hill, Ballard, Edmonds and Issaquah); ambulatory care centers in Redmond and Mill Creek; and Swedish Medical Group a network of more than 183 primary care and specialty locations throughout the Great Puget Sound area. Swedish employs more than 13,000 employees and 4,200 physicians. Whether through physician clinics, health education, research and innovation or other means of outreach, we’re committed to caring for the people in our region and beyond. Swedish is proud to be an Equal Opportunity Employer. Swedish does not discriminate on the basis of race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Schedule: Full-time
Shift: Day
Job Category: Audit / Legal / Risk
Location: Washington-Seattle
Work Locations: Metrop olitan Park East (WA152) 1730 Minor Avenue Metropolitan East Tower Seattle, 98101
Req ID: 175915
- .
If you were eligible to this career, please email us your resume, with salary requirements and a resume to Swedish Medical Center - Seattle, WA.
Get director of sales resume sample sample here.
Interested on this career, just click on the Apply button, you will be redirected to the official website
This career will be started on: Tue, 15 May 2018 03:28:12 GMT
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.