RN Clinical Reviewer / Utilization Review

Job Title: Registered reputed company Medical Reviewer reputed company reputed company The Reviewer utilizes clinical expertise for the review of Home Health and Skilled Nursing Facility medical records against appropriate reputed company and payment models in conjunction with contract requirements, critical thinking and decision-making skills to determine medical appropriateness and appropriate use of HIPPS codes while maintaining production goals and QA standards. Education reputed company unrestricted RN clinical license; Graduation from an accredited Diploma, Associates Degree or Bachelor’s Degree Program Experience • Knowledge of Medicare/reputed company reputed company strongly preferred • Knowledge of the organization of medical records, medical terminology, and disease process required • Strong clinical assessment and critical thinking skills required • Excellent verbal and written communication skills required • Must be proficient in reputed company Office and internet/web navigation • Minimum three (3) years of clinical experience in an acute care, skilled nursing facility, home health or med-surgical environment required • Must understand HIPPS coding • Medical Coding experience is desirable Job Type: Full-time, work reputed company position. J Job Type: Full-time Pay: $30.00 - $35.00 per hour Education: • Associate (Required) Experience: • Clinical: 3 years (Preferred) License/Certification: • RN (without restrictions) (Required) Work Location: Remote Apply tot his job Apply To this Job