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Registered Nurse Clinical Claim Review
A company is looking for a Clinical Claim Review RN, National Remote. Key Responsibilities: Review operative reports and billing records to ensure accuracy of payments for implants and high-cost drugs Communicate contract and reimbursement determinations to relevant stakeholders Engage with healthcare facilities to discuss audit results and gather additional clinical information as necessary Required Qualifications: Associate's Degree (or higher) in Nursing Current and unrestricted Registered Nurse licensure in the state of residence 2+ years of clinical documentation review or audit experience Intermediate proficiency with MS Word, Outlook, and Excel
A company is looking for a Clinical Claim Review RN, National Remote.
Key Responsibilities:
Review operative reports and billing records to ensure accuracy of payments for implants and high-cost drugs
Communicate contract and reimbursement determinations to relevant stakeholders
Engage with healthcare facilities to discuss audit results and gather additional clinical information as necessary
Required Qualifications:
Associate's Degree (or higher) in Nursing
Current and unrestricted Registered Nurse licensure in the state of residence
2+ years of clinical documentation review or audit experience
Intermediate proficiency with MS Word, Outlook, and Excel