Texas Licensed Audit RN

A company is looking for an Audit RN - Revenue Integrity. Key Responsibilities Prepare and conduct audits for governmental and managed care payors, comparing clinical documentation to billed charges Perform internal audits to identify discrepancies in charges and document findings for appropriate departments Assist departments with charge reconciliation and provide education on improving deficient processes Required Qualifications Graduate of an accredited nursing program 5 years of clinical experience as a RN, including 2 years in utilization review or charge audit in an acute care hospital Knowledge of principles of Managed Care and Medicare/Medicaid reimbursement Registered Nurse (RN) license upon hire

Apr 22, 2025 - 20:24

A company is looking for an Audit RN - Revenue Integrity. Key Responsibilities Prepare and conduct audits for governmental and managed care payors, comparing clinical documentation to billed charges Perform internal audits to identify discrepancies in charges and document findings for appropriate departments Assist departments with charge reconciliation and provide education on improving deficient processes Required Qualifications Graduate of an accredited nursing program 5 years of clinical experience as a RN, including 2 years in utilization review or charge audit in an acute care hospital Knowledge of principles of Managed Care and Medicare/Medicaid reimbursement Registered Nurse (RN) license upon hire