Senior Claims Review Nurse

Post Date

Mar 16, 2023

Location

Camden,
New Jersey

ZIP/Postal Code

08103
US
Jul 28, 2023 Insight Global

Job Type

Perm

Category

Nurse

Req #

HPA-609390

Pay Rate

$70k - $90k (estimate)

Job Description

Our large healthcare client located in Camden, NJ is seeking a Claims Review Nurse to join their Revenue Cycle Team. On a day-to-day basis this individual will be responsible for timely completion of medical record reviews for charge integrity and medical necessity. They will work with auditors to identify and support documentation as requested for medications, implants, treatments, supplies and equipment. It is also the Claims Review Nurse's responsibility to identify gaps in charge capture and work collaboratively with the department leaders to reduce future charge loss.

Minimum Requirements

- Current NJ Nursing License

- 2+ years of hands on clinical experience

- 2+ years of experience in Medical Records Review, Coding, or Medical Billing

- Advanced within Excel

- Experience within an EMR (EPIC, Cerner or NextGen)