Hospital Audit and Appeals Nurse (Hybrid)

Clinical Careers Page(3 months ago)

OnsiteFull TimeSenior$106,393 - $145,461 (estimated)Revenue Cycle

About this role

The Audit and Appeals Nurse reports to the Audit and Appeals Supervisor and is part of a team responsible for handling audits and payer appeals for government and commercial payers. The role aims to improve revenue outcomes by taking a global view of clinical and financial processes from patient care through final billing. The position supports organizational revenue integrity and compliance efforts within the health system.

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Required Skills

Clinical Documentation
Medical Coding
Appeals Management
Audit Review
Revenue Cycle
Provider Communication
Regulatory Compliance
EHR Systems
Microsoft Excel
Research Skills

Qualifications

Bachelor's Degree Healthcare
Registered Nursing License (Louisiana State Board of Nursing)
Certified Professional Coder-Hospital (AAPC)
Certified Professional Coder (AAPC)
Certified Coding Specialist (CCHIIM)
Certified Coding Specialist – Physician-based (CCHIIM)

About Clinical Careers Page

lcmchealth.org

LCMC Health is a nonprofit healthcare system based in New Orleans that provides hospitals, urgent care centers, outpatient clinics, and physician services across the greater New Orleans region. The network delivers acute care and specialty services including emergency medicine, surgery, maternity, pediatrics, and other specialty care. LCMC partners with physicians and academic institutions to support clinical education, research, and community health programs. The system emphasizes patient-centered care, regional access to services, and coordinated population-health initiatives.

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