Reviews and applies appropriate billing guidelines and identifies opportunities for capturing ... Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS. Knowledge, Skills and ...
Reviews and applies appropriate billing guidelines and identifies opportunities for capturing ... Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS. Knowledge, Skills and ...
Reviews and applies appropriate billing guidelines and identifies opportunities for capturing ... Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS. Knowledge, Skills and ...
Reviews and applies appropriate billing guidelines and identifies opportunities for capturing ... Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS. Knowledge, Skills and ...
Reviews and applies appropriate billing guidelines and identifies opportunities for capturing ... Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS. Knowledge, Skills and ...
Reviews and applies appropriate billing guidelines and identifies opportunities for capturing ... Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS. Knowledge, Skills and ...
Reviews and applies appropriate billing guidelines and identifies opportunities for capturing ... Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS. Knowledge, Skills and ...
Reviews and applies appropriate billing guidelines and identifies opportunities for capturing ... Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS. Knowledge, Skills and ...
Reviews and applies appropriate billing guidelines and identifies opportunities for capturing ... Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS. Knowledge, Skills and ...
Reviews and applies appropriate billing guidelines and identifies opportunities for capturing ... Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS. Knowledge, Skills and ...
CFO Advisory, Accounting Advisory Manager
Greenville, SC · On-site +1
$139K - $195K/yr
Prepare and review financial statements, footnotes, reconciliations, month-end close entries ... registered public companies or private-equity backed companies required * Proven experience and ...
CFO Advisory, Accounting Advisory Manager
Greenville, SC · On-site +1
$139K - $195K/yr
Prepare and review financial statements, footnotes, reconciliations, month-end close entries ... registered public companies or private-equity backed companies required * Proven experience and ...
Remote Rn Chart Review information
How Can I Get a Remote Job as a Chart Review RN?
The qualifications to get a remote job as a chart review nurse include a nursing degree, a nursing license, and experience using medical records and coding systems. You can start out on this career path by becoming a registered nurse (RN) or a practical nurse (LPN). This process involves earning an associate or bachelor’s degree in nursing and passing the NCLEX-RN licensing exam. It’s essential to have strong communication and analytical skills, attention to detail, and a reliable computer with internet access to work from home. Earning certification from the American Association of Medical Audit Specialists or the American Academy of Professional Coders is a plus.
What are the key skills and qualifications needed to thrive as a Remote RN Chart Review, and why are they important?
What are some common challenges faced by Remote RN Chart Review nurses, and how can they be overcome?
What is a Remote RN Chart Review?
What is the difference between Remote Rn Chart Review vs Remote LPN Chart Review?
| Aspect | Remote Rn Chart Review | Remote LPN Chart Review |
|---|---|---|
| Credentials | Registered Nurse (RN) license | Licensed Practical Nurse (LPN) license |
| Work Environment | Healthcare facilities, insurance companies, telehealth | Similar settings, often with more limited scope |
| Job Responsibilities | Comprehensive chart review, complex case analysis | Basic chart review, documentation verification |
Remote Rn Chart Review and Remote LPN Chart Review both involve reviewing patient records remotely. However, RNs typically handle more complex cases requiring a broader scope of practice and higher credentials, while LPNs focus on more routine documentation tasks. Both roles are essential in healthcare documentation and insurance claims, but RNs generally have more advanced responsibilities and qualifications.

Full-time
Posted yesterday
Prisma Health rating
7.0
Based on 333 frontline employees who took The Breakroom Quiz
401st of 864 rated healthcare providers
Job description
Job Summary
Advises departmental revenue owners and staff on proper usage of charge codes. Monitors daily charge capture, revenue reconciliation, late charge trending, revenue trending, and work queues. Identifies operational trends. Reviews and applies appropriate billing guidelines and identifies opportunities for capturing additional revenue.
Essential Functions
- All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
- Advises departmental revenue owners and staff on proper usage of charge codes with medical record analysis.
- Reviews and applies appropriate billing guidelines, state and federal regulations, and third-party billing rules/coverage. Identifies opportunities for capturing additional revenue in accordance with these guidelines.
- Monitors daily charge capture, revenue reconciliation, late charge trending, revenue trending, and work queues for assigned departmental revenue owners for compliant charge capture detail and documentation integrity. Identifies operational trends and benchmarks.
- Monitors and works with Revenue Cycle and IT staff to resolve accounts that are not routing through the HB Revenue Cycle process.
- Validates assigned principal diagnosis, all secondary diagnoses, principal procedures and all secondary procedures and CPT/HCPCs codes.
- Develops data requirements and works with analytics groups to complete internal charge review audits for assigned clinical departments to ensure that charges are generated in accordance with established policies and timeframes.
- Assists supervisor in addressing questions from staff regarding coding and billing issues. Reviews escalated accounts and issues.
- Participates in system conversions, implementations, and upgrades. Provides coding and reimbursement revenue of all proposed build. Completes assigned tasks in a timely manner. Engages in Epic Implementation "go-live charging hub" and participates in Revenue Management Task Force. Works with CDM, clinical departments, and I/S to ensure Epic and the system build are in place for charge entry and charge capture of provided services.
- Identifies and troubleshoots charge issues and opportunities for enhancement. Supports the RI team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance.
- Reviews departmental charge capture processes for compliance and updates documented procedures as appropriate.
- Coordinates with Department leadership, CDM team and related stakeholders on new procedures being performed to assure charges are set up appropriately and timely education is provided to those affected.
- Partner with vendors on optimization projects to complete data review, auditing, and testing.
- Performs other duties as assigned.
Supervisory/Management Responsibilities
- This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
- Education - High School diploma or equivalent or post-high school diploma / highest degree earned.
- Experience - Five (5) years of healthcare revenue cycle experience
In Lieu Of
- In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience may be considered an equivalent substitution: Associate degree and four (4) years of healthcare revenue cycle experience including two (2) years of charge description master/revenue integrity experience
- In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience may be considered an equivalent substitution: Bachelor's Degree and two (2) years charge description master/revenue integrity experience.
Required Certifications, Registrations, Licenses
- Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS.
Knowledge, Skills and Abilities
- Understanding of OPPS, IPPS, ICD10 Coding, HCPCS/CPT Coding, revenue cycle processes.
- Ability to interact with diverse groups at all levels of the organization by providing guidance and education
- Ability to understand and apply National and Local Coverage Determination to complete assigned work queues and educate facility departments routinely.
Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
7001 Corporate
Department
70019091 Revenue Integrity
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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About Prisma Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Greenville, SC, US
Year founded
2017