RN Auditor
Robert Half Accountemps
Description
We are looking for a highly skilled RN Auditor to join our team in Boston, Massachusetts. This RN Auditor position offers a long-term contract opportunity for a detail-oriented individual with a strong background in auditing, claims administration, and compliance within the healthcare sector. The ideal RN Auditor candidate will play a critical role in ensuring program integrity through detailed audits, effective communication, and adherence to service level agreements.
Responsibilities:
• Conduct onsite and desk audits of healthcare providers to ensure compliance with program integrity standards.
• Analyze claims and coding data to identify discrepancies and recommend corrective actions.
• Collaborate with team leads and other auditors to align audit processes with contractual service level agreements.
• Prepare detailed reports and presentations summarizing audit findings and recommendations.
• Utilize Microsoft Office tools to manage audit documentation and communication effectively.
• Monitor compliance with healthcare regulations and standards, ensuring alignment with organizational policies.
• Provide insights and solutions to enhance recovery and resolution processes.
Requirements
• Minimum of 3-5 years of experience in auditing, claims administration, or compliance within the healthcare industry.
• Must be a Registered Nurse (RN) in the state of Massachusetts.
• Proficiency in Microsoft Office applications, including Excel, Word, and PowerPoint.
• Strong communication and presentation skills to effectively convey audit findings.
• Experience with program integrity processes and healthcare regulations.
• Familiarity with claims coding and recovery processes.
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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