• 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 conducting audits of medical billing documentation to ensure compliance with Medicare and Medicaid regulations. This role involves educating clinicians and billing staff on documentation standards, preparing audit reports, and working closely with compliance teams to resolve billing issues. The position requires a registered nurse with at least two years of long-term care experience, strong communication skills, and proficiency in relevant software.

Keywords:

compliance nurse, medical billing, auditing, Medicare, Medicaid, long-term care, RN, healthcare compliance, clinical audits, documentation standards