About the job
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