NURSE AUDITOR * Job in Pasadena, California Us

The Nurse Auditor works in Managed Care Recovery Unit (MCRU) to provide hands on guidance, support and direction on opportunities surrounding medical necessity, medical management, and charge audits as it impacts recovery efforts. Also, works with MCRU and other CHW departments to identify process improvement wih the goal of accelerating cash and preventing avoidable denials.The Nurse Auditor examines government reimbursement guidelines, managed care contract language and actual payment practices related to medical management to determine if CHW facilities Read more […]

January 7, 2011 • Tags: , • Posted in: General • Comments Off on NURSE AUDITOR * Job in Pasadena, California Us