Senior RN Auditor - Litigation Support at Judge Group

*****If this message does not apply to you, please check out http://www.judge.com and let me know what does******

Our client is currently seeking a Senior RN Auditor - Litigation Support

Qualifications & Requirements:

Bachelor’s degree in Nursing (associate degree from accredited nursing school with 4 or more years of additional clinical experience may be substituted in lieu of a bachelor’s degree)

Licensed Registered Nurse

Minimum of 3 years- clinical review experience with utilization management, case management, or health care claims auditing experience preferred

Certified Professional / Hospital Coder Certification (CPC, CIC, COC, CPMA, CCS, CCS-P, RHIA, RHIT) preferred or goal that certification be obtained within 12 months

Working knowledge and experience in detecting and investigating health insurance fraud, waste, and abuse preferred

Working knowledge with healthcare coding principles to include ICD-9, ICD-10, CPT, HCPCS, RUGS, and DRG

Experience and knowledge of State and Federal healthcare regulations

Knowledge of Medicaid reimbursement and coverage policies desired

Proficient use of applicable software programs, including Microsoft Windows, Word, and Excel

Strong analytical and problem-solving skills

Excellent communication skills including written and verbal. Ability to present to large or small groups required.

Ability to work independently under general instructions

Ability to work in a team environment

Self-directed and motivated, organized, attentive to detail

Ability to manage multiple deadlines and prioritize assignments

Must be able to travel 25% based on client and business needs

Please feel free to forward this msg to ANYONE you think may be interested to DFriedman@judge.com

Looking forward to Connecting.

Dave Friedman

Sr. Healthcare Team Lead (Permanent Placement)

The Judge Group