Sr Claims Review Nurse

About Us

At Cooper 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.