Telecommute Utilization Review Quality Analyst

Location: Nationwide

Compensation: Salary

Staff Reviewed: Thu, Apr 22, 2021

This job expires in: 10 days

Job Category: Case Management

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company needs applicants for an opening for a Telecommute Utilization Review Quality Analyst.

Individual must be able to fulfill the following responsibilities:

  • Identify unique billing encounters for clinical and billing audits
  • Formulate a methodology/algorithm to identify/flag high risk providers

Position Requirements Include:

  • 3+ years’ of clinical experience
  • 3+ years of healthcare coding/billing experience
  • Active RN, LMFT, LP, or LCSW license
  • Experience working in a behavioral health facility
  • Strong analytical, organizational, verbal and written skills required

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