Itemization Review Nurse II

CorVel Career Site-posted 9 days ago
Full-time • Mid Level
Remote • Fort Worth, TX
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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. ESSENTIAL FUNCTIONS & 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

  • 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
  • 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
  • Experience in medical bill auditing preferred but not mandatory
  • Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
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