Nurse Auditor – PRN, Anywhere

United Audit Systems, Inc. (UASI), a rapidly growing healthcare consulting firm seeks to expand its professional team of employees by adding experienced Nurse Auditors to our team on a part-time or PRN basis. The ideal candidate will have a combination of clinical experience in a hospital acute care setting and experience providing reviews of the hospital billing and charging policies. Primary Responsibilities: • Perform a variety of audit services including charge audit, compliance audit, medical necessity, denials and other requests as needed. Audits may be performed on a concurrent or retrospective basis • Review and analyze the client inpatient and/or outpatient itemized billing statement and the patient medical record and related documentation to identify items that were not billed correctly. • Document findings on appropriate form and submit findings to client management staff daily so new billing forms can be generated in hospitals billing systems. • Adhere to the National Health Care Billing Audit Guidelines, UASI Code of Conduct and Compliance Program, and the client third party audit policy while performing all duties. • Attend meetings with members of client-hospital finance, medical records, and ancillary departments. • Educate Client-Hospital personnel on validation and documentation of charges if requested by client contract relationship. • Navigate hospitals medical record system and understand where to locate the financial information in relation to the patient payor billing information Requirements: • Medical clinical experience • Epic experience (Preferred) • InterQual and Medical Necessity experience • Ability to read and comprehend itemized billing statement, patient medical record and other laboratory reports • Ability to analyze medical information and determine appropriate billing procedures • Ability to effectively communicate with others • Analytical thinking process • Knowledge of basic computer skills UASI is the employer of choice due to our outstanding reputation for excellence within the industry and for our comprehensive benefit package which includes: • Medical, dental, vision and life insurance, short/long-term disability, 401(K) and referral bonuses • Training opportunities and reimbursement for professional certifications • UASI's unique approach to employee appreciation which include: birthday recognition, holiday gift selections, performance awards, and years of service awards Apply tot his job Apply tot his job