Reading Hospital
Appeal and Audit Nurse
At a glance
Location: US-PA-Reading Map
Posted: 09/23/2019
Closing: 10/22/2019
Degree: 2 Year Degree
Type: Full-Time
Experience: At least 3 year(s)
Reading Hospital
Job description

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


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 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 Word

 

Appeal and Audit Nurse