Remote Medical Review Registered Nurse

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Wed, Jun 17, 2020

This job expires in 2 days

Job Category: Healthcare, Nursing, Quality Assurance

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A healthcare technology services provider has an open position for a Remote Medical Review Registered Nurse.

Individual must be able to fulfill the following responsibilities:

  • Reviewing medical claim and assessing patient’s records
  • Ensuring compliance with state and federal regulatory requirements
  • Researching to determine appropriate payment

Required Skills:

  • Must have an active RN license, preferably in a resident state that holds compact license
  • Previous experience as a Medicare Part A and/or Part B Medical Review Nurse
  • Previous experience as a Registered Nurse in a clinical setting
  • Must have working knowledge of HCPCS, CPT and ICD-9 and/or ICD-10 codes
  • Requires excellent verbal and written communication skills
  • Excellent analytical and problem-solving skills with the ability to make independent decisions