Telecommuting Medical Review Nurse Auditor

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Posted: Tuesday, March 27, 2018

Job Category: Medical Coding, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Job Summary

A management and recovery solutions company is searching for a person to fill their position for a Telecommuting Medical Review Nurse Auditor.

Core Responsibilities Include:

  • Conducting medical chart reviews
  • Clinically validating the medical appropriateness and coding accuracy of services rendered in an inpatient setting
  • Making determinations based on clinical expertise and knowledge while using audit tools and resources available

Must meet the following requirements for consideration:

  • Knowledgeable of the uses of ICD-9, ICD-10 PCS/HCPCS/CPT, MS-DRG codes
  • Familiarity with interpreting electronic medical records (EHR)
  • Knowledge of insurance programs, particularly the coverage and payment rules
  • Ability to maintain high quality work while meeting deadlines and performance metrics
  • Active unrestricted RN license in good standing
  • 2+ years clinical review and coding/auditing experience for an inpatient facility