Remote Medical Review Supervisor

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Sat, Dec 26, 2020

Job Summary

A provider of enterprise solutions is seeking a Remote Medical Review Supervisor.

Core Responsibilities of this position include:

  • Developing, approving, implementing and ensuring department compliance
  • Performing oversight of appeals reviews initiated by Medicare Advantage Programs
  • Ensuring the MR department's compliance with quality management system

Qualifications for this position include:

  • Travel by land or air transportation 10%
  • Bachelor's Degree or equivalent related experience
  • Must be a Certified Professional Coder
  • Must be a Registered Nurse with an active license in the state of residence
  • Must have no adverse actions pending or taken against him/her by any State or Federal licensing board
  • 4 years experience performing medical reviews on patient medical records

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