Nurse Audit Specialist - job 2 of 2
Company Description
The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.
Job Description
Under general supervision, conducts internal audits of hospital bills working with external auditors to ensure that uncompensated patient revenues resulting from audits of patient service billings (claims) are minimal. Use the information obtained from the audit process to inform and educate UMMS personnel concerning clinical reimbursement results and practices.
Qualifications
- Current active RN registration with the Maryland State Board of Nursing is required.
- Four years professional nursing experience, with experience in a patient care setting and two years performing Utilization Review/Quality Assurance/Case Management responsibilities.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Compensation
- Pay Range: $40.61-$60.96
- Other Compensation (if applicable): None
- Review the 2024-2025 UMMS Benefits Guide
Average salary estimate
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