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Clinical Nurse Documentation Analyst PBS
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Job Description
- Req#: 8440
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $49.88 per hour
- Opportunity for career advancement and growth within the organization
- Flexible work environment with the possibility of remote work
- Supportive and collaborative team culture
- Chance to make a positive impact on patient care and documentation accuracy
What to Expect (Job Responsibilities):
- Review and analyze electronic medical records to extract clinically relevant information for appeals and dispute resolution
- Draft clear, concise, and medically accurate clinical summaries that reflect patient history, treatment, and outcomes
- Collaborate with clinical teams to clarify ambiguous or incomplete documentation
- Ensure all written content meets internal quality standards and complies with regulatory guidelines
- Maintain strict confidentiality and adhere to HIPAA and other applicable privacy regulations
What is Required (Qualifications):
- Graduate of an accredited School of Nursing with current RN license(s) for states of practice
- Minimum of five (5) years of Emergency Department or critical care nursing experience within the last five years
- Minimum of three (3) years of experience in healthcare revenue cycle, claims resolution, or related field
- Five (5) to eight (8) years of experience in claims processing, customer service, auditing, training, analysis, or operations
- Strong understanding of hospital reimbursement structures including PPO, HMO, Medicare, Medicaid, and other payer models
How to Stand Out (Preferred Qualifications):
- Bachelor's degree (BS/BA) in Nursing or health-related field from a four-year college or university
- Pre-hospital experience
- Familiarity with Independent Dispute Resolution (IDR) processes and CMS regulations
- Certification as a CFRN
- Ability to participate in ongoing training and conferences to maintain current knowledge and practice
#HealthcareServices #ClinicalDocumentation #NursingCareers #CareerOpportunity #HealthcareCompliance
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