Job is Expired
Location: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin
Compensation: Salary
Staff Reviewed: Thu, Sep 21, 2023
Job Summary
A company is looking for a Medical Review Nurse Analyst (RN) for a remote position.
Key Responsibilities:
- Review medical documentation to ensure providers are billing and being paid appropriately based on Medicare guidelines
- Deliver provider education and outreach in accordance with the Targeted Probe and Educate (TPE) program
- Monitor assigned providers, educate on billing and documentation requirements, and ensure correct reimbursement
Qualifications:
- Bachelor's Degree in a related field or equivalent work experience
- Active RN license applicable to the state of practice
- Experience in clinical nursing for 4 or more years
- Background in Medicare principles and guidelines
- Wired (ethernet cable) internet connection with a minimum of 10 Mbps downstream and 1 Mbps upstream
