Nurse Auditor 2 (WORK AT HOME | ANYWHERE IN THE US/PUERTO RICO)

Become a part of our caring community and help us put health first
 The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Nurse Auditor 2 validates and interprets medical documentation to ensure capture of all relevant coding. Applies clinical and coding experience to conduct a clinical validation review of the inpatient medical record to validate billed diagnoses. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Use your skills to make an impact
 

HOURS: M-F, 8 hours per day/5 days per week. Work is performed between 6AM-6PM in employee's time zone (EST/CST/MST/PST). Overtime is occasionally offered, but no weekends/holidays.

WORK STYLE: This role is 100% remote, from anywhere in the US and Puerto Rico.

Required Qualifications

• Active Registered Nurse (RN) license in the state/territory in which they reside

• Minimum of 2 years acute inpatient hospital care experience or inpatient auditing experience within the last 5 years

• Advanced knowledge of MS Office (Word, Excel, etc.)

• Demonstrated ability to exercise solid judgment and discretion in handling and disseminating information.

• Ability to work independently and manage workload.

• Customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession.

• Excellent writing, editing, interpersonal, planning, teamwork, and communications skills.

Preferred Qualifications

• Inpatient coding certification (AHIMA or AAPC – ex: RHIA, RHIT, CCS, CIS, CIC)

• Bachelor's Degree in relevant field

• Acute inpatient hospital care experience or inpatient auditing experience in ICU, ER, Trauma or CVOR

• 2 years inpatient coding experience

• Prospective payment methodologies, auditing experience

• Clinical documentation improvement knowledge (CDE, CDEI certifications)

Additional Information

Work at Home Requirements

• WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.  
• Satellite and Wireless Internet service is NOT allowed for this role.
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