Job Summary
A security and business intelligence services firm is seeking a Remote Nurse Reviewer .
Must be able to:
- Utilize medical record knowledge and experience in order to determine completeness of medical records
- Formulate written requests for additional medical record documentation
- Apply knowledge of ICD-10-CM/CPT-4 and HCPCS Level II coding in order to determine services rendered.
Qualifications for this position include:
- At least 1 year of experience in clinical documentation review/abstraction
- At least three (3) years clinical experience as a Registered Nurse
- Minimum two (2) years federal and local policy application in relation to Medicare insurance procedures for medical necessity for Outpatient Facilities and Services.
