Itemization Review Nurse II

CERIS•Fort Worth, TX

11h•Remote

About The Position

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges.

Requirements

Must maintain current licensure as a Registered Nurse in the state of employment
Must have a minimum of 5 years’ experience in the O.R., ICU, or E.R. as an R.N.
Associate Degree in Nursing or higher
Understanding of Itemization Review for designated clients
Understanding of CERIS systems and Data Base informatics
Understanding of HIPAA regulations
Exceptional organizational skills with the ability to handle stressful situations and adapt accordingly
Demonstrated leadership skills; ability to work with Leadership Team(s) within a positive team environment
Strategic problem solving, analytical, and critical thinking skills
Effective written and verbal communication skills
Ability to work independently and within a team environment
Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams

Nice To Haves

Experience in medical bill auditing preferred but not mandatory

Responsibilities

Collects supporting data and analyzes information to make decisions regarding accuracy of billing
Appropriately documents work and final conclusions in designated computer program
Understanding of Surgical Implants
Meets department's expectations and standards
Additional duties as assigned