Job Summary
A provider of technology-enabled recovery is filling a position for a Remote Medical Review Nurse Auditor.
Must be able to:
- Conduct medical chart reviews
- Accurately document clinical audit determinations
- Create narrative rationale to correspond audit determinations
Applicants must meet the following qualifications:
- Active unrestricted RN license in good standing
- Coding Certification as a CPC, CPC-H, CPC-P, RHIA, RHIT, CCS, or CCS-P
- 2+ years clinical review and coding/auditing experience for an inpatient facility/SNF Facility
- 3+ years of actual MS-DRG coding in an acute facility setting
- 2+ years direct experience in medical chart review for all provider/claim types inpatient/outpatient
- 1-2 years experience working with health are claims demonstrating expertise in ICD-9/ICD-10 coding, HCPS/CPT-4 coding, and MS-DRG including medical billing experience for an Insurance Company or Hospita
