Professional Review Nurse

Location: Remote

Compensation: Salary

Staff Reviewed: Mon, May 06, 2024

This job expires in: 11 days

Job Category: Healthcare

Weekly Hours: Full Time

Career Level: Experienced

Education Level: Some College

Job Summary

A company is looking for a Professional Review Nurse.

Key Responsibilities:

Identify issues of concern and communicate with claims examiner/client
Analyze data to determine appropriateness of billing and treatment plans
Document work and conclusions in designated computer program

Qualifications:

Registered Nurse licensure with a minimum of 4 years clinical experience
Associate Degree in Nursing preferred
Thorough knowledge of C.P.T. and I.C.D.10 codes
Medical bill auditing experience preferred
Clinical experience in specific areas like O.R., I.C.U., E.R., etc., preferred

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