Clinical Auditor

Job not on LinkedIn

November 20

Apply Now

Receive Emails with Similar Jobs

NIVA Health

WebsiteLinkedInAll Job Openings

Healthcare Insurance • Wellness • Healthcare

NIVA Health is a healthcare provider focused on natural pain relief and renewal through cutting-edge therapies. They specialize in a variety of treatments, including IV Vitamin Therapy, wound care, and solutions for conditions such as erectile dysfunction, joint pain, and neuropathy. With multiple locations, they aim to help patients avoid unnecessary surgeries and medications while promoting overall wellness and vitality.

51 - 200 employees

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

• Conduct internal audits of clinical documentation for accuracy and compliance with ICD-10/CPT coding. • Review billing practices for Medicare, Aetna, BCBS, and other major payers. • Identify discrepancies and provide recommendations to fix them. • Educate and train providers and staff on documentation best practices. • Stay ahead of changes in coding standards and payer requirements. • Produce clear, concise audit reports for leadership. • Work independently from your home, managing your own schedule and priorities.

🎯 Requirements

• Registered Nurse or Enrolled Nurse (preferred). • Are highly experienced in ICD-10 and CPT coding and insurance billing. • Know the ins and outs of Medicare, BCBS, Aetna, and other big players. • Have a sharp eye for detail and love tracking down inconsistencies. • Thrive working independently in a quiet, remote setting. • Communicate clearly, tactfully, and effectively—whether in reports or training sessions. • Bonus Points If You: • Have experience in clinical auditing, compliance, or quality assurance. • Are familiar with EHR systems and audit tools. • Hold a relevant certification (like CHC or CHCA).