Sr Claims Review Nurse

				Responsibilities:

* Responsible for timely completion of medical record reviews for charge integrity. 
* Hospital bills are compared against documentation in the electronic medical record to ensure the recovery of all unbilled charges.
* Work with third party auditors to identify and support documentation as requested for medications, implants, treatments, supplies and equipment. 
* Identifies gaps in charge capture and works collaboratively with the department to reduce future charge loss.
* Responsible for medical record reviews for quality, medical necessity, coding clarification and risk management as requested.

Qualifications:

Proficiency in Microsoft Excel, Word and Power Point.  Ability to work independently and to prioritize to meet deadlines.  Excellent interpersonal, oral, written, analytic and problem solving skills.
			

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Cooper University Health Care

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