Medical Auditor

Baycare; Clearwater (FL); Remote; USD 65,000 - 85,000; Full time

Job summary

BayCare is seeking a detail-focused Registered Nurse to join the Central Billing Office and Finance team in Clearwater. The role verifies charges against supporting documentation, serves as the systems liaison for insurance audits, and handles billing inquiries with accuracy.

Applicants should hold a Florida RN license with clinical nursing experience, strong Excel skills, and the ability to review medical records.

Qualifications

• Current Florida RN license and active practice.
• Ability to review and analyze medical documentation and billing records.
• Strong organizational and communication skills.

Responsibilities

• Compares detailed charges on bills to supporting documentation for validity.
• Acts as Systems representative for insurance audits.
• Researches patient and internal billing questions and maintains audit logs.
• Performs audit assists and special projects as assigned.

Skills

RN License

Clinical Nursing

Audit Skills

MS Excel

Education

Associate Degree in Nursing

BSN preferred

Job description

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Business and Administrative

Central Billing Office and Finance

Central Billing Office and Finance

Full Time

Minimum Salary

Minimum Salary

Maximum Salary

Clearwater:BayCare Sys Office West

Details

Title

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

Position Summary

Compares the detailed charges on a bill to the supporting documentation to verify the validity of the charges included on the bill, serve as the Systems representative for insurance audits, research patient and internal billing questions, separates organ donor charges, and maintains a log of all chart audit requests and the related results. Performs audit assists/special projects as assigned.

Minimum Qualifications

• Associate Degree in Nursing (BSN preferred)


• Current Florida Registered Nurse (RN) license


• Clinical nursing experience required


• Ability to review and analyze medical documentation and billing records


• Strong organizational, auditing, and problem-solving skills


• Excellent communication and collaboration skills


• Some travel within the local geographic area is required


• Intermediate MS Excel skills

Preferred Qualifications

• Bachelor's Degree in Nursing (BSN)


• Critical Care experience


• Surgical Services experience

Credentials

• Registered Nurse (RN) - State of Florida

Facility & Location

• Facility: BayCare Health System, Audit Serv Compl Oversight-BCHS


• Location: BayCare System Office West


• Status: Full Time, Exempt


• Shift:8:00 AM - 4:00 PM


• PrimarilyRemote (must reside and work within Florida)

Equal Opportunity Employer Veterans/Disabled