Employer Industry: Academic Healthcare System

Why consider this job opportunity:
- Salary up to $60.96 per hour
- Opportunity for career advancement within a leading healthcare organization
- Engage in meaningful work that contributes to patient care and clinical reimbursement practices
- Collaborative work environment with a focus on education and professional development
- Work closely with external auditors to ensure quality and accuracy in patient service billing

What to Expect (Job Responsibilities):
- Conduct internal audits of hospital bills in collaboration with external auditors
- Ensure minimal uncompensated patient revenues resulting from audits of patient service billings
- Utilize audit findings to educate UMMS personnel on clinical reimbursement results and practices
- Analyze and assess patient service claims for accuracy and compliance
- Collaborate with various departments to improve billing practices and patient care outcomes

What is Required (Qualifications):
- Current active RN registration with the Maryland State Board of Nursing
- Minimum of four years of professional nursing experience in a patient care setting
- At least two years of experience performing Utilization Review, Quality Assurance, or Case Management responsibilities
- Strong analytical skills and attention to detail
- Excellent communication skills for educating staff on reimbursement practices

How to Stand Out (Preferred Qualifications):
- Previous experience in auditing or billing within a healthcare setting
- Familiarity with clinical reimbursement practices and regulations
- Advanced proficiency in data analysis and reporting tools
- Additional certifications in Utilization Review or Quality Assurance

#Healthcare #Nursing #ClinicalAuditing #CareerGrowth #PatientCare

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