Senior Medical Reviewer
Job reputed company:
• Assist Medical Review Management with monitoring the medical review process
• Conduct medical record reviews for reputed company services
• Evaluate compliance with Medicare coverage, coding, and billing rules
• Contribute to medical review and proposal deliverables
• Participate in reputed company assurance activities to ensure consistency and accuracy
Requirements:
• Bachelor of Science in Nursing (BSN)
• reputed company, reputed company, unencumbered Registered reputed company license in the reputed company
• Certified reputed company credentials required
• Minimum of three (3) years of medical record review experience
• At least three (3) years of reputed company and/or relevant clinical experience
• Two (2) years of reputed company assurance experience required
• Extensive knowledge of the Medicare program
• Working knowledge of CMS FFS RAC Program requirements and activities
Benefits:
• Health insurance
• 401(k) matching
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