ChattanoogaRecruiter Since 2001
the smart solution for Chattanooga jobs

Nurse Auditor 2-RN Chart Auditor

Company: Humana
Location: Chattanooga
Posted on: January 17, 2020

Job Description:

DescriptionThe RN Chart Auditor performs clinical audit/validation processes to ensure that the hospital itemized bill and the medical record documentation for services rendered is complete, compliant and accurate to support optimal reimbursement. RN Chart Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.ResponsibilitiesThe RN Chart Auditor reviews and analyzes the hospital itemized bill, to identify charges not separately billable for inpatient stays and the medical records, and related hospital documentation, to validate the billed charges are supported by the records. Applies clinical experience when conducting reviews. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.Required Qualifications

  • Associates Degree in Nursing
  • Active Registered Nurse (RN) license
  • 3 or more years experience in hospital chart reviews/auditing for inpatient claims
  • 3 or more years clinical experience in a hospital setting
  • Must be able to demonstrate the ability to read a hospital medical chart and hospital IB
  • Demonstrated ability to lead process/project initiatives
  • MS Office proficiency
  • Demonstrated ability to exercise solid judgment and discretion in handling and disseminating information
  • Ability to work independently and manage work load
  • Customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
  • Excellent writing, editing, interpersonal, planning, teamwork, and communications skills
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiencesPreferred Qualifications
    • CMAS, CMCA or equivalent chart auditing certification preferred
    • Bachelors Degree preferred
    • 5 plus years in hospital chart auditing
    • ICD10/CPT coding a plusAdditional InformationScheduled Weekly Hours40About UsMission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms when and where they need it. Our employees are at the heart of making this happen and thats why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first. Equal Opportunity EmployerIt is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact for assistance.Humana Safety and SecurityHumana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact to validate the request.

Keywords: Humana, Chattanooga , Nurse Auditor 2-RN Chart Auditor, Healthcare , Chattanooga, Tennessee

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Healthcare Jobs

Registered Nurse - Home Care - Poplar Team (Murfreesboro)
Description: SUMMARYThe Registered Nurse serves as case manager for assigned patients. Responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care to the terminally (more...)
Company: Alive Hospice
Location: Murfreesboro
Posted on: 01/21/2020

ICU Nurse (Critical Care)
Description: Description br br SHIFT: Days rotating weekends br br SCHEDULE: Full-time br br StoneCrest Medical Center- Nashville, TN br br Member of the TriStar br Division of HCA br br Registered (more...)
Company: TriStar StoneCrest Medical Center
Location: Smyrna
Posted on: 01/21/2020

Occupational Medicine Physician - Physicians Only Apply - Perm
Description: Medical Doctors Only Apply. A Occupational Medicine Physician practice is
Company: Advantage-Performance Group
Location: Cleveland
Posted on: 01/21/2020

RN-Emergency Dept
Description: We Are Hiring RN-Emergency Dept - Emergency Department - Full-Time, Night - St Thomas Rutherford Hospital - Murfreesboro,TN,--9a to 7p four days a week.Why Join Ascension In Tennessee, Ascension's Saint (more...)
Company: Ascension, A17
Location: Murfreesboro
Posted on: 01/21/2020

Premium Pay Travel RN - ICU/CCU
Description: We Are Hiring City, State: Nashville, TNLocation: St Thomas Rutherford Hospital Department: Float Staffing 001/ICUAdditional Job Details: Full Time NIGHTS/14 week contract Pay: 63/hrWhy Join Ascension (more...)
Company: Ascension, A17
Location: Murfreesboro
Posted on: 01/21/2020

PACU Nurse
Description: Description br br SHIFT: Days rotating weekends br br SCHEDULE: Full-time br br TriStar Parkridge Health System br br PACU Registered Nurse br br HCA TriStar above all br else (more...)
Company: Parkridge Medical Center
Location: Chattanooga
Posted on: 01/21/2020

Travel / Locum Tenen OT Jobs Occupational Therapist
Description: Of all the Healthcare Professional specialties we offer, Occupational Therapist are one of the specialties that have the most difference between staffing agencies in job / travel assignment locations (more...)
Company: HealthCare Travelers
Location: Chattanooga
Posted on: 01/21/2020

Physician / Psychiatry / Tennessee / Permanent / Employed Adult Psychi
Description: Parkridge Health System in Chattanooga, Tennessee is seeking two in-patient Psychiatrists for full-time employment at our Parkridge Valley Adult and Senior Campus. Opportunity Description:
Company: HCA Physician Recruitment
Location: Chattanooga
Posted on: 01/21/2020

Clinical Specialty Pharmacist - NICU
Description: We Are Hiring Saint Thomas Health is the leading faith-based health care system in Tennessee and is a part ofAscension, the largest non-profit health system in the U.S. and the world's largest Catholic (more...)
Company: Ascension, A17
Location: Murfreesboro
Posted on: 01/21/2020

RN / Nurse Manager / Tennessee / Any / Nurse Supervisor Job
Description: More personalized patient care More professional impact BE THE CONNECTION. In your role as nurse supervisor, youll be the connection between more personal, exceptional care and the positive effect it (more...)
Company: Encompass Health
Location: Chattanooga
Posted on: 01/21/2020

Log In or Create An Account

Get the latest Tennessee jobs by following @recnetTN on Twitter!

Chattanooga RSS job feeds