Revenue Integrity Nurse Auditor
St. Mary's Health Care System

Athens, Georgia

Posted in Medical and Nursing


Job Info


Employment Type:
Full time
Shift:

Description:
MINIMUM QUALIFICATIONS

1. Registered Nurse and graduate of an accredited school of nursing plus at least four (4) years of nursing experience, including two (2) years of utilization review/case management, managed care or comparable patient payment processing experience. Must have current registration with the State Board of Nursing Examiners or have a temporary permit to practice nursing in the assigned state. Bachelor's Degree preferred. Must possess a demonstrated knowledge of revenue cycle and denial management functions
Registered Nurse and graduate of an accredited school of nursing plus at least four (4) years of nursing experience, including two (2) years of utilization review/case management, managed care or comparable patient payment processing experience. Must have current registration with the State Board of Nursing Examiners or have a temporary permit to practice nursing in the assigned state. Bachelor's Degree preferred. Must possess a demonstrated knowledge of revenue cycle and denial management functions.

Knowledge of insurance and governmental programs, regulations and billing processes (e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is required. Working knowledge of medical terminology, and medical record coding experience (ICD-9, CPT, HCPCS) are highly desirable.

Customer service background is required. Working knowledge of Electronic Health Records (EHR) is preferred. This is a Full Time position with benefits.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.



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