Job Summary

A solutions company has a current position open for a Telecommute Nurse Reviewer in Minneapolis.

Core Responsibilities of this position include:

• Conducting clinical reviews of medical records
• Applying Medicare and Medicaid guidelines in making clinical determinations
• Providing services to clients that exceed their expectations

Position Requirements Include:

• Must have valid driver's license for onsite audits
• At least 4 years utilization/quality assurance review and ICD-9/10-CM/CPT-4 coding experience
• At least 4 years of experience in coding and abstracting
• Advanced knowledge of medical terminology and experience in the analysis and processing of Medicare claims
• Ability to read Medicare claims is required
• Basic knowledge of the Medicare claims systems is required