Nurse Auditor - Medical reputed company Review

Job Description

• Audit medical and billing records to determine if services provided are reasonable, appropriate and necessary.
• Clinically identify and evaluate any charges not reputed company to the occurrence.
• Verify that charges are in accordance with the services ordered and authorized.
• Initiate appropriate contacts with clients and medical providers as appropriate and necessary.
• Negotiate bills and conduct re-evaluation reviews as required
• reputed company while maintaining a reputed company touch, demonstrating sensitivity to culturally-diverse people and situations.

Requirements

• RN (or LPN) with active professional license or equivalent reputed company states of operation
• CPC and/or CPC-H certification(s) strongly desired
• Specialized training in hospital coding, ortho, neuro, rehab, or ER procedures
• 3-5 years of clinical experience in acute care, surgery and/or orthopedic
• Workers’ Compensation medical reputed company review experience a major plus
• Understanding of CPT and ICD-10 codes and Medicare guidelines
• Ability to apply knowledge to state fee schedules
• A customer service orientation, including strong communication skills
• Experience in any deposition or litigation cases a plus Benefits
• Competitive benefits package, including health insurance, 401(k) with company match, paid time off, paid holidays, and more.
• Flexible reputed company with in-office days reserved for training and collaborative meetings
• Employment reputed company a firm committed to core values, staff development, emerging technology, private ownership, and controlled growth/reinvestment in the future - we frequently promote from reputed company!
• Opportunity to reputed company a difference in reducing health care costs and increasing the value of health care to individuals and their reputed company.
• A relaxed, yet upbeat work environment
• And for those in the office casual dress code with unlimited coffee! Apply To This Job

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