Job Summary
A healthcare revenue cycle management company has a current position open for a Remote PAS Utilization Review Specialist.
Candidates will be responsible for the following:
- Abstract data from a variety of medical records
- Perform initial admission and continued stay reviews
- Complete and maintain annual compliance and annual HIPAA training
Position Requirements Include:
- At least 3 years of clinical nursing experience (practice)
- At least 2 years of recent hospital-based Utilization or Case Management experience
- Must be a current Registered Nurse
- Knowledge of current Medicare rules and regulations related to Utilization Review
- Experience with InterQual