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Appeal and Audit Nurse

Company: Tower Health
Location: Reading
Posted on: October 13, 2019

Job Description:

Responsibilities Job Summary- Appeal and Audit Nurse Reports to Appeal and Audit Nurse Manager

  • Performs appeals and audits as a member of a newly created team
  • Synthesize medical information into actionable correspondence to improve reimbursement
  • Maximize use of technology to perform work for all TowerHealth Hospitals
  • Utilize clinical knowledge to impact the financial success of the organization
  • Partner with clinical service line areas to improve practices to reduce denials #LI Qualifications Education Requirements
    • Accredited Registered Nurse Program (Diploma, Associates Degree or Bachelors of Nursing) (Required)
      • If Diploma or Associates Degree, Bachelors Degree in Related Field (Required) Certification and Licensure Requirements
        • Active Registered Nurse License (Required)
        • Certified Professional Coder (CPC) (Preferred) Experience and Skills
          • Minimum of 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 Word

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

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