Hospital Bill Nurse Auditor
Embrace better opportunities.
Are you passionate about health, happiness and helping others? So are we. We’re committed to helping our health plan Members live a happy and healthy lifestyle, and we believe that it starts here first, with our Associates.
At AvMed, we provide the tools and opportunities to enhance, expand, and support each Associate’s personal and professional growth. From tuition reimbursement to exercise classes in the office (do you like zumba, or is yoga more your speed?). Embrace a better career with AvMed and join our team!
Position: Audit Services Field Hospital Nurse (Miami)
Scope of position: Support the Audit Services & Investigations Unit in identifying risk areas specific to contractual language, conducting hospital bill audits and reducing overall medical costs through the recovery of claims payments pending for review and/or paid in error due to inappropriate billing in accordance with CMS, National Guidelines, ICD-10, CPT, Evaluation and Management Guidelines, and our internal contractual provisions. Position requires regional travel on a weekly basis.
RN required with minimum five years of auditing experience in medical record billing audits Well-developed clinical/technical skills Knowledge of contractual methodologies Knowledge of CMS and AMA coding rules specific to ICD-10, CPT, HCPCS, E&M, and DRG Knowledge of CMS coverage, Federal and State Statutes, Rules, and Regulations Strong analytical skills Excellent verbal and written communication skills Valid Florida Driver's License.
Competitive Salaries Comprehensive Benefits: Medical Plans, Health Savings Account, Dental, Vision, and more… Paid Time Off, Company Paid Holidays, Paid Time Off Cash-In 401(k)plan with matching contributions, Tuition Assistance, Associate Discounts Environment:
At AvMed, you’ll find a family. Our Associates love us, so they don’t leave us. They love all the opportunities for advancement, the flexible work environment, the team activities (have you ever competed in BattleFrog?), and some of them tell us, what they really love are all the office birthday cakes.
AvMed is located near the internationally popular Dadeland Mall, adjacent to a wide variety of residential neighborhoods ranging from pedestrian-friendly urban-style communities to beautiful green suburbs. It is also easy to access through public transportation – a short walk from the Metrorail – and major highways so all that Miami has to offer is within reach.
AvMed is a tobacco/drug free workplace, EOE