Nurse Auditor - Revenue Integrity (Remote in Wisconsin)

EDUCATION: For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation. Minimum Required: Nursing diploma or Associate’s degree in nursing. Preferred/Optional: Bachelor’s degree in nursing. EXPERIENCE Minimum Required: Three years’ experience in medical setting or medical business office. Demonstrated knowledge of surgical and medical procedures. Strong written and verbal communication skills and demonstrated knowledge of Microsoft Office Suite. Preferred/Optional: Demonstrated knowledge of CPT, ICD-9/ICD-10, and HCPCS coding. Demonstrated knowledge of Inter-qual criteria. CERTIFICATIONS/LICENSES: The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: Registered Nurse license awarded by the State of Wisconsin. Coding certification awarded by American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA), or other approved coding certification must be obtained within three years of hire. Preferred/Optional: Current coding certification awarded by American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA), or other approved coding certification at time of hire.

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