Nurse Auditor - Medical reputed company Review

Remote Worldwide Hiring now

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.

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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