Telecommuting Medical Review Nurse Auditor
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
Complete Job Description
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