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Nurse Auditor
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- The Nurse Auditor reviews medical records for hospital clients to review including denials, disallowed charges and more for the facility.
- Nurse Auditors perform medical bill and defense audits, and review grievances and claim denials.
- Writes appeal letters for all denials and sends results to RAC coordinator for follow through procedures.
- Documents and send audit results to biller, external auditors, and facility department managers as needed for review.
- Knowledge of coding and billing such as E/M level charges, and coding for DRG audits
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