Nurse Auditor - Revenue Integrity (Remote in Wisconsin)

Marshfield Clinic; Marshfield (WI); Remote; USD 65,000 - 80,000; Full time

Job summary

A leading healthcare provider in Wisconsin is seeking a Nurse Auditor to ensure proper coding and support response to coding inquiries. This role offers remote work options, a chance for career advancement, and the opportunity to impact patient care positively. Required qualifications include a nursing degree, a valid RN license in Wisconsin, and experience in a medical setting. Join a mission-driven organization focused on accessible healthcare.

Benefits

Opportunity for career advancement

Supportive work environment

Qualifications

• Must be a Wisconsin resident.
• Minimum of three years’ experience in a medical setting or office.
• Registered Nurse license awarded by the State of Wisconsin.

Responsibilities

• Review medical records for proper coding.
• Collaborate with staff to resolve coding issues.
• Maintain knowledge of surgical and medical procedures.

Skills

Knowledge of coding policies

Attention to detail

Communication skills

Education

Nursing diploma or Associate’s degree in nursing

Bachelor’s degree in nursing

Tools

CPT coding

ICD-9/ICD-10 coding

HCPCS coding

Job description

Overview

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Opportunity for career advancement and growth within the organization
• Work remotely from anywhere in Wisconsin
• Supportive and collaborative work environment
• Chance to make a positive impact on patient care through accurate coding and auditing
• Engage in a mission-driven organization focused on accessible and compassionate healthcare

Responsibilities

• Review medical records to ensure proper coding of assigned specialties within the healthcare system
• Serve as a liaison to provide accurate information and guidance on coding and Medicare/Medicaid policies
• Develop payor or Recovery Audit Contractors (RAC) appeals correspondence materials
• Collaborate with physicians, allied providers, managers, and staff to resolve coding issues
• Maintain up-to-date knowledge of surgical and medical procedures relevant to coding

Qualifications

• Must be a Wisconsin resident
• Minimum educational requirement: Nursing diploma or Associate’s degree in nursing
• Minimum of three years’ experience in a medical setting or medical business office
• Registered Nurse license awarded by the State of Wisconsin
• Coding certification from an approved organization must be obtained within three years of hire

Preferred Qualifications

• Bachelor’s degree in nursing
• Demonstrated knowledge of CPT, ICD-9/ICD-10, and HCPCS coding
• Current coding certification at the time of hire from an approved organization
• Familiarity with Inter-qual criteria

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