RN Claims Quality Auditor - (Little Rock, AR)

Overview Schedule: Full time, 8:00am-4:30pm The Registered Nurse (RN) , under the general guidance of the Hospital Billing Services manager, is responsible for the review of revenue against 3rd-party billing guidelines and as clinical ability for questions about charging and clinical practices. Provides guidance for all staff in HBS regarding charging and clinical practices. Acts as liaison with clinical departments regarding charging issues, questions or practices, as they relate to clean claims generation. Supports process for charge capture for global accounts and for research accounts. Completes and/or supports clinical appeals for outpatient services, and may, from time to time, assist in issuing inpatient appeals as well. Performs audits, as needed, at the direction of HBS leadership.