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Texas Licensed Records Review Nurse
A company is looking for a Records Review/Prepayment Nurse. Key Responsibilities Obtains, reviews, and analyzes medical records for compliance with policies Documents findings and recommends adjustments or denials of services Prepares reports of findings and assists with provider education and claims adjudication Required Qualifications Diploma or Associate's degree in nursing or related discipline from an accredited institution Active Registered Nurse (RN) license in Texas Three to four years of healthcare experience Two years of clinical experience in a healthcare setting One to two years of experience in utilization management or medical record review
A company is looking for a Records Review/Prepayment Nurse.
Key Responsibilities
Obtains, reviews, and analyzes medical records for compliance with policies
Documents findings and recommends adjustments or denials of services
Prepares reports of findings and assists with provider education and claims adjudication
Required Qualifications
Diploma or Associate's degree in nursing or related discipline from an accredited institution
Active Registered Nurse (RN) license in Texas
Three to four years of healthcare experience
Two years of clinical experience in a healthcare setting
One to two years of experience in utilization management or medical record review
