WHAT IS A REMOTE NURSE AUDITOR JOB?
A remote nurse auditor job is a healthcare profession that involves reviewing medical records and healthcare claims to ensure that they meet regulatory requirements, medical necessity, and industry standards. A remote nurse auditor typically works from home or a remote location, using a computer and internet connection to access medical records and communicate with healthcare providers. This job is essential in preventing healthcare fraud, waste, and abuse and ensuring that healthcare providers are providing quality care to patients.
WHAT USUALLY DO IN THIS POSITION?
A remote nurse auditor is responsible for reviewing medical records and healthcare claims to ensure that they are accurate, complete, and meet regulatory requirements. They also analyze medical records to determine the medical necessity of services provided, identify any discrepancies or errors, and recommend corrective actions. In addition, they communicate with healthcare providers, insurance companies, and patients to resolve any issues related to medical records or healthcare claims.
TOP 5 SKILLS FOR POSITION
- Strong analytical and critical thinking skills
- Excellent communication and interpersonal skills
- In-depth knowledge of medical terminology, coding, and billing
- Familiarity with healthcare regulations and compliance requirements
- Attention to detail and accuracy
HOW TO BECOME THIS TYPE OF SPECIALIST?
To become a remote nurse auditor, you typically need a nursing degree and experience working in healthcare. Many remote nurse auditors have a Bachelor of Science in Nursing (BSN) or a Master of Science in Nursing (MSN) degree. In addition, you may need certification in medical coding or billing, such as the Certified Professional Coder (CPC) or Certified Medical Billing Specialist (CMBS). Some remote nurse auditor jobs may require additional certification or training in healthcare compliance and regulations.
AVERAGE SALARY
According to Salary.com, the average salary for a remote nurse auditor is $79,365 per year in the United States. However, the salary can vary depending on factors such as experience, location, and industry.
ROLES AND TYPES
There are several roles and types of remote nurse auditor jobs, including:
- Healthcare Claims Auditor: Reviews healthcare claims to ensure they are accurate and meet regulatory requirements.
- Medical Record Auditor: Reviews medical records to ensure they are complete, accurate, and meet regulatory requirements.
- Compliance Auditor: Ensures that healthcare providers are following regulatory requirements and industry standards.
- Coding Auditor: Reviews medical codes to ensure they are accurate and meet regulatory requirements.
LOCATIONS WITH THE MOST POPULAR JOBS IN USA
Remote nurse auditor jobs are available in various locations throughout the United States. Some of the most popular locations for remote nurse auditor jobs include:
- Texas
- Florida
- California
- New York
- Georgia
WHAT ARE THE TYPICAL TOOLS?
Remote nurse auditors typically use various tools and software to perform their job duties, such as:
- Electronic Medical Records (EMR) Systems
- Medical Coding and Billing Software
- Microsoft Office Suite (Word, Excel, PowerPoint)
- Internet and Email Communication Tools
- Web Conferencing and Video Conferencing Software (Zoom, Skype)
IN CONCLUSION
Remote nurse auditor jobs are an essential aspect of the healthcare industry, ensuring that medical records and healthcare claims meet regulatory requirements and standards. To become a remote nurse auditor, you typically need a nursing degree, experience in healthcare, and certification in medical coding or billing. The average salary for a remote nurse auditor is $79,365 per year in the United States. Remote nurse auditors use various tools and software to perform their job duties, such as EMR systems, medical coding and billing software, and web conferencing software. Overall, remote nurse auditor jobs offer a challenging and rewarding career path for healthcare professionals who are passionate about ensuring quality care for patients.