Broward Health Corporate ISC

Shift: Shift 1

FTE: 1.000000

Summary:
Responsible for coordinating denials with Centralized Denial Team and Central Business Office ensuring compliant and complete clinical documentation, assists with denials and related audits, and identifies opportunities for revenue optimization. Investigates denials and root causes, which includes performing thorough chart reviews, providing education to clinical colleagues, and tracking of identified trends. Leverages clinical knowledge and standard procedures to ensure timely attention to denials as requested by Audits, CBO, and Revenue Integrity and applicable appeal data gathering. Responsible for retrospective charge reviews, and Outpatient CDI reviews and assistance with third party charge audits. May require travelling between location

Education:
Essential:
* Associate
Education specialization:
Essential:
* in a Nursing Program from an Accredited School of Nursing

Experience:
Essential:
* Two Years

Credentials:
Essential:
* Registered Nurse
* Licensed Practical Nurse

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