WarningAH
Atlantic Health System has been made aware of an internet scam targeting job seekers who have posted their resumes on several job posting websites. Scammers are contacting applicants via text messages and in some cases even via email representing Atlantic Health System. Many of these jobs are offered as “work from home” positions primarily in the Midwest. All correspondence with us comes from an internal employee with a valid @atlantichealth.org email address. Anyone who suspects they have been solicited in this scam should contact their local law enforcement agency.

Revenue Integrity Nurse Auditor

Professional
Morristown, NJ
September 14, 2018
Overview
Atlantic Health is seeking a full time RN Billing Compliance in Revenue Integrity.

Responsibilities
Essential Functions:

  • Ensure that services are ordered by a physician consistent with industry standards and provided to the patient according to hospital policies/protocol, documented in the medical record, and charged correctly.
  • Audit medical records and billing documents for appropriate documentation of (ICD-10 CM, CPT and HCPCS) coding and billing charges.
  • Enter departmental charges and/or credits as appropriate based on audit findings.
  • Prepare weekly and monthly summary reports of audit findings.
  • Provide educational programs to physicians and clinical departments to help reduce lost revenue and improve documentation.
  • Participate and develop internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems and implementing solutions.
  • Perform departmental audits to ensure billing procedures follow the Organization’s and regulatory guidelines. Report results back to department managers and work with department to correct the process and implement solutions.
  • Must have ability to reason and communicate both written and verbal.
  • E xcellent problem solving skills.
Qualifications
Qualifications:

  • Registered Nurse (BSN preferred)
  • Minimum of 5 years clinical experience
  • Auditing experience preferably with a healthcare organization or insurance company
  • Case Manager and/or coding experience a plus
  • Working knowledge of medical terminology, patient care services and medical record chart documentation