A staffing agency has a current position open for a Telecommute HEDIS Review Nurse in Wilmington. Core Responsibilities of this position include: Reviewing medical records and charts for all HEDIS measures.
A full service staffing and recruitment firm is in need of a Remote Nurse Coding Specialist Clinical Investigator in Houston. Individual must be able to fulfill the following responsibilities: Perform clinical coverage review of CPT and HCPCS coded claims.
Qualifications Include: RN or BSN. Current unrestricted MA license required. Experience with managed care. Experience within a health insurance company. At least 2-5 years experience in a clinical or community based nursing setting. All other requirements necessary for this position.
Bachelor's degree in HealthCare, Nursing, Publich Health, Health Administration or directly related field. Required 7 years of experience in quality improvement. Required 5 years of experience in managed care. Required 4 years of management experience. Some licensing required.
Bachelor’s degree in nursing or other clinical background, Health Information Management or related degree. Two to three years HIM, CDI or Coding, experience with physician supporting roles. Full list of skills and requirements located on company web page.