Reading Hospital
Appeal and Audit Nurse
At a glance
Location: US-PA-West Reading Map
Posted: 01/12/2021
Closing: 02/11/2021
Degree: Not Specified
Type: Full-Time
Experience: Not Specified
Reading Hospital
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
  • 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 denials

#LI



Qualifications

Education 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 but not required)

Experience and Skills

  • Minimum of three (3) years diverse clinical experience (required), preferably in a hospital setting
  • Pediatrics experience strongly preferred
  • Case Management/Utilization Review/Insurance experience preferred
  • Required Skills: Excellent written and verbal communication skills, Excellent interpersonal skills, Microsoft Excel, Microsoft Word

Appeal and Audit Nurse