RN Medical Billing Auditor & Clinical Advisor

S1 Medical; Oregon; Hybride; USD 90 000 - 120 000; Plein temps

Résumé du poste

S1 Medical is seeking a Nurse Auditing Specialist to lead internal review of medical bills and ensure alignment with supporting documentation and guidelines. The NAS will leverage RN credentials to validate charges and help reduce unnecessary costs across multiple locations, working in a virtual environment.

The role requires meticulous documentation, collaboration with medical bill reviewers, and ongoing engagement with stakeholders to refine processes and educate providers.

Qualifications

• Active RN license and credentials.
• Strong communication skills and professionalism.
• High attention to detail with thorough documentation.
• Ability to follow established protocols while using judgment.
• Excellent organizational and multitasking abilities in high-volume settings.
• Self-motivation in a virtual work environment.
• Collaborative mindset for cross-functional teamwork.

Responsabilités

• Review medical bills against supporting documentation and notes.
• Verify costs with multiple medical pay data resources.
• Maintain clear, concise documentation for future reference.
• Provide instructions to auditors and negotiators based on audit findings.
• Collaborate with CBM-PM and CBS-PM to optimize workflow.
• Attend at least 2 events annually related to workplace culture or social initiatives.

Connaissances

RN license

Self-motivated

Excellent communication

Attention to detail

Organizational skills

Collaborative mindset

Decision making

Virtual work

Formation

Active RN license

Description du poste

S1 Medical is seeking a Nurse Auditing Specialist to lead internal review of medical bills and ensure alignment with supporting documentation and guidelines. The NAS will leverage RN credentials to validate charges and help reduce unnecessary costs across multiple locations, working in a virtual environment.

The role requires meticulous documentation, collaboration with medical bill reviewers, and ongoing engagement with stakeholders to refine processes and educate providers.