Itemization Review Supervisor

CERIS

Fort Worth, Texas, United States · Posted Jul 17


Job description

Responsibilities: The supervisor oversees the itemization review process, managing nurse workloads, queues, and client appeals. They are responsible for maintaining monthly metrics, ensuring HIPAA compliance, and fostering a collaborative team environment.

Requirements: Candidates must be a licensed Registered Nurse with at least 5 years of experience in OR, ICU, or ER and 3 years in a supervisory role. An Associate Degree in Nursing is required, with preferred experience in LIBR and medical bill auditing.

Key skills: Leadership, Medical Bill Auditing, HIPAA Compliance, Data Analytics, Strategic Thinking, Critical Analysis, Problem Solving, MedCheck, Tableau, UKGPro, Microsoft Office Suite, ICD-10, DRG, Coding, Professional Communication, Team Building

Keywords: Registered Nurse, RN, Itemization Review, LIBR, Medical Bill Auditing, ICD-10, DRG, Coding, MedCheck, MedCheck Select, CareMC, Tableau, UKGPro, Microsoft Excel, Microsoft Teams, HIPAA, Healthcare Payments, Cost Containment, Clinical Expertise, Data Analytics

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