• Registered nurse, bachelor degree preferred
• Active RN license in Missouri and Illinois, or willing to obtain as soon as possible
• Two years of Long-Term care experience, with at least one year as MDS Coordinator
• Acute care highly desirable
• Knowledge of Medicare and Medicaid required
• Experience training/teaching adults preferred
• Software skills in Word, Excel, Power Point or equivalent required
• Basic knowledge of and experience utilizing a personal computer
• Verbal and written communication skills
• Excellent interpersonal and organizational skills
• Manual dexterity, coordination and skillful use of hands for working with required equipment
• Ability to receive and express detailed information through oral communication, visual acuity
• Ability to read and understand written directions

Compliance Nurse Specialist (RN) at Bethesda Health summary:

The Compliance Nurse Specialist (RN) is responsible for auditing medical billing documentation to ensure compliance with Medicare and Medicaid regulations. This role involves conducting internal audits, educating clinical staff on documentation standards, and preparing reports with recommendations for corrective actions. The specialist works collaboratively with compliance teams to resolve billing issues and maintains quality assurance standards.

Keywords:

Compliance Nurse, Medical Billing, Medicare Regulations, Medicaid Regulations, Healthcare Audits, MDS Coordinator, Clinical Documentation, Nursing Education, Quality Assurance, Electronic Medical Records