Medical Review Specialist III
Job is Expired
Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Thu, Jul 11, 2024
Job Summary
A company is looking for a Medical Review Specialist III in Medicare Part A.
Key Responsibilities:
- Perform comprehensive medical record and claims review for Medicare Part A services
- Conduct in-depth claims analysis using coding principles
- Make clinical judgment decisions based on clinical experience
Required Qualifications:
- Registered Nurse with at least 4 years clinical experience
- Minimum 2 years federal and local policy applications related to Medicare insurance procedures
- Current licensure as a Registered Nurse in one or more states
- No adverse actions pending against any licensing board
- Valid state driver's license
COMPLETE JOB DESCRIPTION
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Job is Expired
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