SR CLAIMS REVIEW NURSE
Camden, NJ Job ID 40748 Job Type Full Time Shift Day Specialty HIM/CodingAtCooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
- Responsible for timely completion of medical record reviews for charge integrity.
- Hospital bills are compared against documentation in the electronic medical record to ensure the recovery of all unbilled charges.
- Work with third party auditors to identify and support documentation as requested for medications, implants, treatments, supplies and equipment.
- Identifies gaps in charge capture and works collaboratively with the department to reduce future charge loss.
- Responsible for medical record reviews for quality, medical necessity, coding clarification and risk management as requested.
Experience Required
3 or more years of clinical experience in Trauma, Critical Care or Operating Room nursing. 2 or more years of experience in medical record review, coding or health care auditing.
Education Requirements
Graduate of Accredited Registered Nurse program
License/Certification Requirements
Current New Jersey Registered Nurse License
Special Requirements
Proficiency in Microsoft Excel, Word and Power Point. Ability to work independently and to prioritize to meet deadlines. Excellent interpersonal, oral, written, analytic and problem solving skills.
About the Area
With the help of Cooper, I have obtained my Epic Certification as well as my Masters in Business Administration. Cooper has really been supportive and really helpful in helping me to develop professionally and personally they really believe in a strong work-life balance.
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Cooper in the Community We take our role in the community very seriously. With a mission to serve, to heal and to educate, the Cooper Community Health Outreach Team provides several health education programs, presentations and consultations. -
Benefits We offer a wide range of benefits to ensure that our staff have everything they need to succeed both at work and at home.
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Awards and Designations Cooper University Health Care is recognized by many independent, national organizations for our standards of quality, excellence and safety..
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Military and Veterans Cooper is proud to employ veterans and active military from every branch of the armed services as part of our Cooper team. Their contributions to our organization, our community, and our patients are highly valued and appreciated.
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Education Achieve your academic and professional goals here at Cooper, one of the nation’s top choices for medical, nursing, and allied health professionals.
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Nursing At Cooper, teamwork, respect and professional development are in our DNA. Be part of our team and on the forefront of innovation at the area’s leading academic health system. A Cooper nurse is ready to learn, ready to teach, and above all – ready first.
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