Job Overview Are you an accomplished healthcare professional with a strong background in coding, auditing, and revenue integrity? We invite you to become an integral member of our esteemed team as a Nurse Auditor / Revenue Integrity & CDM Analyst. In this fully remote role, you will be pivotal in ensuring precise billing, compliance, and the optimization of revenue streams. Key Responsibilities As a Nurse Auditor / Revenue Integrity & CDM Analyst, your tasks will include: Conducting audits of itemized charges against patient medical records and other hospital documentation. Assigning appropriate HCPCS codes and modifiers to claims while ensuring adherence to medical necessity requirements. Collaborating with billing personnel to address coding-related inquiries and provide expert guidance. Partnering directly with revenue-generating departments to rectify lost charges, respond to billing questions, and offer education on effective charge capture. Assisting with the maintenance, research, and updates of the Charge Description Master (CDM). Reviewing observation accounts to ensure precise charge coding for services like ED visits, injections, infusions, and extended recovery care. Required Skills To excel in this role, candidates should possess: Exceptional attention to detail and accuracy. Strong written and verbal communication skills. The ability to work independently and efficiently in a remote environment. Qualifications Demonstrated expertise in revenue integrity, nurse audits, coding, or charge master functions within a hospital context. Strong coding proficiency, verified through a competency assessment or extensive clinical nursing experience in ICU, ED, or as a documentation specialist. Familiarity with health information systems and advanced computer skills. A Bachelor of Science in Nursing (BSN) is preferred. Career Growth Opportunities By joining our organization, you will be part of a respected institution that values professional development and offers numerous opportunities for advancement within the healthcare field. Company Culture and Values We pride ourselves on maintaining a reputable and stable organizational environment that places great importance on our employees. Our collaborative culture is geared towards enhancing revenue integrity and compliance, creating a supportive atmosphere for all team members. Compensation And Benefits Pay Range: (40.00 - )42.00 per hour. Comprehensive benefits package including medical, dental, and vision coverage. Life and disability insurance options. Critical illness, accident, and hospital benefits. Health Spending Account (HSA). 401(k) Retirement Plan with both pre-tax and Roth post-tax contributions. Employee Assistance Program (EAP). Generous PTO, vacation, and sick leave. Application Details Deadline to Apply: December 13, 2024. Employment Type: Contractor