Mar 02, 2024
$59,362 - $88,722 yearly
GENERAL DESCRIPTION: The Hospital Bill Audit Nurse conducts hospital bill charge audits by reviewing medical records to verify that services were provided and charges are appropriate based on medical documentation and industry guidelines. The types of audits performed could include, but are not limited to inpatient, outpatient, NICU, and hospice. Charge audits identify overcharges, undercharges, and unbundled items per payor contract and industry standards. This candidate will be responsible for independent scheduling requiring flexibility and travel to provider location. DUTIES AND RESPONSIBILITIES: Onsite scheduling and travel – acknowledge work that is assigned, maintain timely communication with Audit Coordinator, schedule and complete audits in an efficient and timely manner. Travel onsite as needed to perform audits. Review medical records to verify services were provided and charges are accurate – Identify overcharges, undercharges, unbundled items, errors, duplicates, and...
CorVel Corporation Fort Worth, TX, USA Full time