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    Registered Nurse Coding Auditor - Harrisburg, PA, United States - A-Line Staffing Solutions

    A-Line Staffing Solutions
    A-Line Staffing Solutions Harrisburg, PA, United States

    3 weeks ago

    Default job background
    Description
    A-Line Staffing is now hiring a Nurse Auditor Hybrid / Remote in Harrisburg PA .
    If you are interested in this Nurse Auditor Hybrid / Remote position, please contact Marcia Hamilton at or
    Nurse Auditor Hybrid / Remote Compensation

    00 per hour
    Benefits are available to full-time employees after 90 days of employment
    A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates
    Nurse Auditor Hybrid / Remote Highlights

    This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
    The required availability for this position is Nurse Auditor Hybrid / Remote Must work from the office in Harrisburg for 4-8 weeks for training and after training will work from the office 1 day a week and remote 4 days a week
    Nurse Auditor Hybrid / Remote Responsibilities

    ~ A resource is responsible for the review and evaluation of medical information and examination of medical records and other documentation to assure that eligible medical assistance recipients receive appropriate and quality medical care that the Medical Assistance Program is properly billed and that provider and/or recipient fraud and abuse of the Medical Assistance Program is detected and corrected Ability to communicate effectively verbally and in writing with coworkers management Office of General Counsel other agencies nursing facility staff and other medical assistance providers to review and discuss cases Resources also provide advisory and consultative services to boards and staff designed to improve the services or administrative procedures in support of medical assistance patients Ability to review and evaluate provider documentation to determine compliance with Medical Assistance regulations.

    Nurse Auditor Hybrid / Remote Requirements

    Registered Nurse issued by the Pennsylvania State Board of Nursing or Possession of a non-renewable temporary practice permit issued by the Pennsylvania State Board of Nursing
    One-year period as a nurse defined by the Pennsylvania State Board of Nursing
    Basic Computer Skills and writing
    Three years of professional experience with medical assistance MA health care services or human services
    Three years of recent within the last five years professional experience in one or more of the following areas as related to the position need: long term care acute care setting behavioral health setting drug and alcohol setting managed care quality management/utilization review or other related clinical experience
    Or equivalent to combination of experience and training in the field of medical assistance MA health care services human services long term care utilization review or knowledge of home care
    Inter- Qual criteria ICD-9 CM and current procedure terminology
    Nurse Auditor Hybrid / Remote Preferred Qualifications

    Microsoft Office Suite
    1+ year as a Registered Nurse issued by the Pennsylvania State Board of Nursing
    If you think Nurse Auditor Hybrid / Remote position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting

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