Senior Nurse Auditor: Revenue Integrity & Coding Expert

Chesapeake Regional Healthcare; Chesapeake (VA); On-site; USD 75,000 - 95,000; Full time

Job summary

Chesapeake Regional Healthcare is seeking a Nurse Auditor/Senior Revenue Integrity Specialist in Chesapeake, VA. The role involves auditing itemized charges against patient medical records, advising the billing department on appropriate HCPCS codes, and performing quality audits. Candidates should have extensive coding experience, preferably with a Bachelor's in Nursing, and a current Virginia Nursing License. Strong communication skills and attention to detail are essential for interacting with patients and departments regarding billing inquiries.

Qualifications

• Minimum 20 years of senior-level coding or 10 years in coding management in an acute hospital setting.
• Current Virginia Nursing License is required.
• Experience in health information systems and effective communication skills essential.

Responsibilities

• Audit patient bills and ensure accuracy of HCPCS codes and modifiers.
• Assist in patient inquiries regarding itemized charges.
• Educate departments on appropriate charging processes and procedures.

Skills

Coding diagnostic information

Attention to detail

Effective communication

Education

Bachelor of Science in Nursing

Graduate of an approved school of professional nursing

Tools

ICD-10-CM classification

CPT-4/HCPCS classification

Job description

Chesapeake Regional Healthcare is seeking a Nurse Auditor/Senior Revenue Integrity Specialist in Chesapeake, VA. The role involves auditing itemized charges against patient medical records, advising the billing department on appropriate HCPCS codes, and performing quality audits. Candidates should have extensive coding experience, preferably with a Bachelor's in Nursing, and a current Virginia Nursing License. Strong communication skills and attention to detail are essential for interacting with patients and departments regarding billing inquiries.