Individual must be able to fulfill the following responsibilities: Utilize clinical nursing skills to support the coordination, documentation and communication of medical services. Work assignments are varied and frequently require interpretation and independent determination.
A medical review company is in need of a Remote Claims Quality Analyst Nurse. Must be able to: Review reports accompanying medical records. Work with a sense of urgency and meet deadlines. Ensure clarity of information and to ensure all questions posed have been addressed.
Navigating hospitals medical record system. Performing a variety of audit services. Must meet the following requirements for consideration: Must demonstrate the ability to read a medical chart and hospital itemized bills. Understanding of hospital charging policies.
Core Responsibilities Include: Reviewing and analyzing sampled Medicare claims. Applying the interpretation of ANSI Reason Codes. Providing electronic documentation of findings. Position Requirements Include: Ability to travel as needed. Bachelor’s or equivalent.
Review medical records and coding to validate Outpatient billing. Update internal tool with audit findings and completing audits assigned on a daily basis. Review a minimum of 15 - 18 records per day once trained and in full production. Position Requirements Include:
High School Diploma or equivalent. Certified Professional Coder or Certified Coding Specialist Physician. 3+ years of medical office experience. 2+ years of experience in professional coding. 5+ years of professional coding experience. Strong computer software skills.
An independent review organization has a current position open for a Telecommute Interventional Cardiology Medical Reviewer. Candidates will be responsible for the following: Applying their medical knowledge and expertise in a flexible, remote-work setting.
Clinical research or medical records. Experience with clinical chart review and abstraction. Recent experience (in last year) as an SCR for ACS NSQIP Data abstraction/collection. Computer literacy and Internet experience in areas outlined by company.
Coding medical records. Preparing coding reports and audit summary findings. Qualifications for this position include: Extensive ICD-10-CM coding and auditing experience. Minimum 5 years of coding and/or auditing experience. CPMA or RHIT - to be completed within a year of hire.
Five (5+) years’ home health or hospice experience. Knowledge of CMS billing compliance guidelines and CMS regulations. Knowledge of care delivery documentation systems and related medical record documents. Must meet all other listed company requirements.