Clinical Revenue Auditor (RN)

Bronx, NY

Department: Allied Health Job Number: 5515

Title: Clinical Revenue Auditor (RN)

Location: Bronx, NY

Industry: Healthcare

Occupational Category: Allied Health

Hours: Full-time

Description: Our client, a top academic hospital in NYC, is seeking to hire an RN Clinical Revenue Auditor.

Responsibilities:

  • Review medical records and related documentation.
  • Identify and resolve issues to maximize cost outlier reimbursement.
  • Audit medical records to ensure all charges were actually performed on the patient and are Medicaid compliant
  • Capture charges not billed
  • Participate in the third-party appeal process and follow-up with outside agencies.
  • Schedule: Full time, 8am-4:30pm or 8:30 -5pm

Requirements:

  • 2+ years experience as a medical/surgical Registered Nurse
  • EPIC experience preferred
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