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Nurse Audit Specialist - Remote

Posted 7 weeks ago
All others
Full Time
MD, USA
$40.61 - $60.96/hour

Overview

The Nurse Audit Specialist conducts internal audits of hospital bills and works with external auditors to minimize uncompensated patient revenues, while educating UMMS personnel on clinical reimbursement results and practices.

In Short

  • Conducts internal audits of hospital bills.
  • Collaborates with external auditors.
  • Ensures minimal uncompensated patient revenues.
  • Educates UMMS personnel on reimbursement practices.
  • Requires RN registration with the Maryland State Board of Nursing.
  • Four years of professional nursing experience required.
  • Two years of experience in Utilization Review/Quality Assurance/Case Management.
  • Focuses on clinical reimbursement results.
  • Works within an integrated network of care.
  • Part of a prominent academic health system.

Requirements

  • Current active RN registration with the Maryland State Board of Nursing.
  • Four years of professional nursing experience.
  • Experience in a patient care setting.
  • Two years performing Utilization Review responsibilities.
  • Two years in Quality Assurance or Case Management.

Benefits

  • Competitive pay range of $40.61 - $60.96 per hour.
  • Confidential handling of applicant information.
  • Access to UMMS Benefits Guide.
University of Maryland Medical System logo

University of Maryland Medical System

The University of Maryland Medical System (UMMS) is an academic private health system dedicated to providing compassionate, high-quality care while integrating discovery and innovation into clinical practice. Collaborating with the University of Maryland School of Medicine, School of Nursing, and University of Maryland, Baltimore, UMMS serves as a vital healthcare provider, delivering 25% of all hospital care across urban, suburban, and rural areas in Maryland. The system operates 11 hospitals, including the flagship University of Maryland Medical Center in Baltimore, along with a network of urgent care centers and over 150 locations throughout 13 counties, ensuring accessible primary and specialty care for the community.

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