Full-Time

Nurse Review Auditor

Posted on 4/30/2024

EnableComp

EnableComp

201-500 employees

Advanced analytics for healthcare claims reimbursement

Data & Analytics

Mid

Remote in USA

Required Skills
Communications
Requirements
  • Associates or Bachelor’s Degree in Nursing
  • Active Registered Nurse license in the state of employment
  • 5 years’ of clinical experience on the hospital/facility side
  • Strong computer proficiency
  • Knowledge of medical and surgical procedures
  • Current certification from AAPC as Certified Coder
  • General computer skills
  • Familiarity with health care documentation systems
  • Strong verbal, written and interpersonal communication skills
  • Strong organizational and time management skills
  • Ability to think critically and make decisions
  • Proven ability in developing and following an audit program
Responsibilities
  • Apply clinical expertise to analyze medical services and bills
  • Identify the necessity of the review process and communicate concerns
  • Document work and conclusions in company software
  • Negotiate with payers for maximum reimbursement
  • Assist in training staff on medical terminology and coding
  • Maintain knowledge of healthcare market changes

EnableComp provides a distinct competitive advantage in the healthcare industry by specializing in maximizing complex claims reimbursement through advanced analytics and industry-leading technology. Their focus on ensuring appropriate revenue collection for healthcare providers solidifies their role as a critical ally in the financial operations of over 1,000 healthcare providers. Working at this company offers the opportunity to be at the forefront of financial and technological solutions within the healthcare sector, enhancing both professional growth and sector-wide impact.

Company Stage

Private

Total Funding

$5.3M

Headquarters

Franklin, Tennessee

Founded

2000

Growth & Insights
Headcount

6 month growth

6%

1 year growth

18%

2 year growth

80%
INACTIVE