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Job: Nurse Auditor - Business Office

This posting has expired and is no longer available.

Job Description

Will be responsible for the daily unbilled and failed claims, charge validation and reviews, insurance appeals, audit request from patients and insurance companies.  Will conduct, coordinate, and notify medical records of external audits requested by outside agencies.  Will appeal payer denials provided by the collectors and billers timely.  Will monitors daily census reports, hospital charges, and current projects for accuracy of the hospital charge system.  Prepares monthly quarterly, and yearly reports of audit activities.

 



Qualifications

Requirements: Must be RN or LPN with experience in Case Management or Utilization Review, strong Medical Terminology, and an  acute care background.

 

For more than 100 years, the health care professionals at St. Luke’s Medical Center have provided excellent care to a diverse and dynamic community. St. Luke’s Medical Center is a 220-bed hospital, featuring a full range of services, including emergency care, cardiac care, burn care, acute rehabilitation, orthopedics and weight loss surgery. St. Luke’s offers the latest in medical advancements and innovative technology along with a commitment to providing patient-focused care in a friendly, personalized environment. St. Luke’s Medical Center is accredited by DNV Healthcare, a worldwide leader in quality management.

St. Luke's Medical Center / Tempe St. Luke's Hospital are Equal Opportunity Employers; Minorities/Women/Veterans/Disabled

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