Ohio Licensed SIU Investigator RN

A company is looking for an Investigator, SIU RN-Remote. Key Responsibilities Perform medical record audits to verify documentation and coding accuracy Conduct interviews to investigate potential fraud, waste, or abuse Generate audit reports and provide education on coding practices Required Qualifications Graduate from an Accredited School of Nursing Five years clinical nursing experience with broad clinical knowledge Five years experience in medical review and coding/billing audits Active, unrestricted State Registered Nursing (RN) license in good standing Knowledge of medical terminology and coding requirements (CPT, ICD-9, HCPCS, DRG)

Mar 15, 2025 - 03:40

A company is looking for an Investigator, SIU RN-Remote. Key Responsibilities Perform medical record audits to verify documentation and coding accuracy Conduct interviews to investigate potential fraud, waste, or abuse Generate audit reports and provide education on coding practices Required Qualifications Graduate from an Accredited School of Nursing Five years clinical nursing experience with broad clinical knowledge Five years experience in medical review and coding/billing audits Active, unrestricted State Registered Nursing (RN) license in good standing Knowledge of medical terminology and coding requirements (CPT, ICD-9, HCPCS, DRG)