Remote RN Medical Reviewer

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Tue, May 21, 2019

This job expires in 2 days

Job Category: Case Management, Healthcare, Nursing

Telecommute Level: Majority

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

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