Montrose Regional Health
Clinical Revenue Specialist - Case Management - Full Time
Montrose Regional Health, Montrose, Colorado, us, 81402
Clinical Revenue Specialist - Case Management - Full Time
Join Montrose Regional Health as a
Clinical Revenue Specialist - Case Management - Full Time . About Montrose Regional Health
As the leading healthcare provider in the Uncompahgre Valley, MRH offers personalized and professional healthcare backed by the latest technology. We are committed to evolving and broadening our services across 23 specialties and sub-specialties. Montrose Regional Health is a not-for-profit organization accredited by the Joint Commission, meeting the highest healthcare standards. Department Overview
Montrose Regional Health's revenue integrity team conducts audits and active monitoring to ensure appropriate billing for the care or services provided. Position Purpose
The Clinical Revenue Specialist ensures the integrity and quality of physician and nursing documentation, accurately reflecting clinical assessments, diagnoses, and outcomes. This role combines skills of Utilization Review Nurses and Clinical Documentation Specialists to support medical necessity, coding, charge capture, quality reporting, and reimbursement. It also contributes to process improvements, provider and staff education, and revenue cycle initiatives. Qualifications
Current Registered Nurse licensure in Colorado. Knowledge of Medicare, Medicaid, and private insurance criteria. Minimum three (3) years of acute hospital nursing experience; 2-3 years of Case Management preferred; 1-2 years of Utilization Review preferred. Benefits
Mentoring and Continuing Education 401(k) Retirement Plan with employer match and 457(b) Top Hat plan Multiple health insurance options Professional development ladder participation earning an additional $5.00/hour Our Values
Integrity and honesty Service with care and compassion Excellence Leadership through innovation and creativity We treat our team like family This position is based in Montrose, Colorado.
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Join Montrose Regional Health as a
Clinical Revenue Specialist - Case Management - Full Time . About Montrose Regional Health
As the leading healthcare provider in the Uncompahgre Valley, MRH offers personalized and professional healthcare backed by the latest technology. We are committed to evolving and broadening our services across 23 specialties and sub-specialties. Montrose Regional Health is a not-for-profit organization accredited by the Joint Commission, meeting the highest healthcare standards. Department Overview
Montrose Regional Health's revenue integrity team conducts audits and active monitoring to ensure appropriate billing for the care or services provided. Position Purpose
The Clinical Revenue Specialist ensures the integrity and quality of physician and nursing documentation, accurately reflecting clinical assessments, diagnoses, and outcomes. This role combines skills of Utilization Review Nurses and Clinical Documentation Specialists to support medical necessity, coding, charge capture, quality reporting, and reimbursement. It also contributes to process improvements, provider and staff education, and revenue cycle initiatives. Qualifications
Current Registered Nurse licensure in Colorado. Knowledge of Medicare, Medicaid, and private insurance criteria. Minimum three (3) years of acute hospital nursing experience; 2-3 years of Case Management preferred; 1-2 years of Utilization Review preferred. Benefits
Mentoring and Continuing Education 401(k) Retirement Plan with employer match and 457(b) Top Hat plan Multiple health insurance options Professional development ladder participation earning an additional $5.00/hour Our Values
Integrity and honesty Service with care and compassion Excellence Leadership through innovation and creativity We treat our team like family This position is based in Montrose, Colorado.
#J-18808-Ljbffr