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Appeal and Audit Nurse

Company: Tower Health
Location: Reading
Posted on: February 16, 2020

Job Description:

Job Summary- Appeal and Audit NurseReports to Appeal and Audit Nurse Manager

  • Performs appeals and audits as a member of a newly created team
  • Synthesizes medical information into actionable correspondence to improve reimbursement
  • Maximizes use of technology to perform work for all TowerHealth Hospitals
  • Utilizes clinical knowledge to impact the financial success of the organization
  • Partners with clinical service line areas to improve practices to reduce denialsEducation Requirements
    • Accredited Registered Nurse Program (Diploma, Associates Degree or Bachelors of Nursing) (Required)Certification and Licensure Requirements
      • Active Registered Nurse License (Required)
      • Certified Professional Coder (CPC) (Preferred)Experience and Skills
        • Minimum of three (3) years diverse clinical experience (required), preferably in a hospital setting
        • Case Management/Utilization Review/Insurance experience (preferred)
        • Required Skills: Excellent written and verbal communication skills, Excellent interpersonal skills, Microsoft Excel, Microsoft WordRequisition ID (iCIMS): 2019-26078 Shift: 1-Day Name: FIN Revenue Integrity Hours Per Pay Period: 80 of Openings: 4External Company Name: Reading Health System External Company URL: https://www.readinghealth.org Street: PO Box 16052 Post End Date: 5/30/2020 Work Schedule: 8AM-5PM

Keywords: Tower Health, Reading , Appeal and Audit Nurse, Healthcare , Reading, Pennsylvania

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