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Quality Control Nurse ICorVel CorporationFort Worth, Texas, United States

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Quality Control Nurse I

CorVel Corporation
  • US
    Fort Worth, Texas, United States
  • US
    Fort Worth, Texas, United States

À propos

The Quality Control Nurse is responsible for ensuring and maintaining MCS Bill Review database integrity. Ensures timely application of QC protocols to meet production standards.
This is a remote position.
Essential Functions & Responsibilities
Analyses itemization line item descriptors from hospital billing entered
Verifies line item data sets for completeness, correctness and understandability
Maintain the integrity of each provider chargemaster within Scheck
Maintains consistent communications with the Data Entry Analyst on line item entries
Maintains constant communications with the Medical Review Department regarding unusual billing practices and discovery of potential errors
Maintain 100% accuracy of data set(s) prior to moving files to the next department to meet production and turnaround time requirements
Maintain HIPAA compliance in all aspects of communications
Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
Additional tasks as required by Supervisor
Knowledge & Skills
Exceptional organizational, strategic and critical thinking skills
Effective and professional communication skills
Ability to handle stressful situations and adapt accordingly
Demonstrated outstanding leadership, problem solving, and analytical skills
Ability to think and work independently, while working in an overall team environment
Proficient in MedCheck Select V5.0, Microsoft Office Suite, Excel, Outlook, and Skype for Business
Education/Experience
Must maintain current licensure as a Licensed Practical Nurse or 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. or 10+ years of patient care in a medical setting
Current license or Associate Degree in Nursing or higher
Experience in medical bill auditing, preferred but not mandatory
Pay Range Pay Range: $52,999 – $85,473
Benefits A comprehensive benefits package is available for full-time regular employees and includes 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.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
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  • Fort Worth, Texas, United States

Compétences linguistiques

  • English
Avis aux utilisateurs

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