Telecommute – Montgomery, AL
Nurse Auditor – remote for Montgomery
Nurse Auditor ? FTE remote after initial training week at Montgomery office
Equian has grown to become one of the nation’s leading companies for property and casualty, workers compensation, healthcare reimbursement analysis and payment integrity. We have been voted one of 40 ?Healthcare’s Hottest? by Modern Healthcare and have been recognized by Inc. 5000 as one of the fastest growing companies in the United States. We are an employee-centric company and offer the most competitive salaries in the industry, exceptional benefits, wellness programs, and many other perks you find at many other companies. Come join one of the finest and most recognized organizations in the industry! At Equian, we are developing the next generation of integrated technology solutions that brings data mining, data analytics, workflow, document management and process management into a seamless platform to meet the challenges of a rapidly changing business environment.
Responsible for conducting Specialty Audits assigned to individual’s work queue in an accurate and timely manner.
Perform audits of designated medical bills to ensure accurate coding/billing practices by the provider.
Monitors bill aging for bills held to specified queue to ensure held age does not exceed 3 days.
Measured by: Generating Hold Aging Report from Stratacare
Stays updated in state regulated rule changes
Handles and assists in reconsideration issues, discusses payment disputes with provider when necessary
Maintains professional knowledge by attending educational workshops, reviewing professional publications, maintains membership in professional organizations
Maybe required to work overtime
Registered Nurse as well as high school graduate
5+ years of work experience in billing and/or coding healthcare services
At least one coding credential (such as CPC, CPC-H, CCS, CCS-P) is preferred.