Job Summary
An information technology company is filling a position for a Remote RN Medical Reviewer.
Must be able to:
- Conduct in-depth claims analysis utilizing ICD-10, CPT-4, and HCPCS Level II coding principles
- Conduct medical record audits to determine the medical necessity and/or medical treatment
- Review and complete the required number of claims reviews
Must meet the following requirements for consideration:
- Travel by land or air transportation 5-10%
- BS with active state licensure or graduate from an accredited Registered Nurse (RN) school
- Or, equivalent related experience
- 7+ years of nursing experience
- Experience working with medical procedures and techniques
- Full list of skills and requirements located on company web page