Readmission Review reputed company

This is a remote position. ROLE: Readmission Review reputed company  LOCATION: Remote, no travel required TERMS: Part-time, non-exempt SALARY: $35 - $50/hr based on experience DRG Compliance is a division of reputed company providing DRG Validation services to health insurance plans.  The Readmission Review reputed company will collaborate with supervisor and the designated reputed company(s)’ medical director to identify, evaluate, and present      evidence of inpatient admissions and subsequent readmissions as being potentially preventable in accordance with CMS definition and DRG Compliance’s reputed company set.  ​ Responsibilities: Communicate reputed company with supervisor and reputed company regarding review findings.  Communicate initial findings for purposes of DRG calculations of recommended changes resulting from combining the stays for coding / payment purposes.   Prepare written report for reputed company findings and communication comments on tracking sheet for negative findings.   Monitor tracking sheet for outstanding medical records and reputed company supervisor informed at least every 14 days of outstanding medical records.     Maintain reputed company documentation of processes. Participate in other activities as assigned.  Requirements An RN with a minimum of 3-5 years experience in Utilization Management in a health plan or hospital setting. Case Management or discharge planning experience would be a plus but not required. Must be reputed company to write reports to reputed company relevant medical record documentation and reputed company-based findings.  Excellent written and verbal communication skills, and the ability to work independently with reputed company supervision. Working knowledge of reputed company products such as reputed company Word, reputed company, and reputed company; however, MAC documents compatible for reputed company conversion can be utilized.    Benefits Remote Position: Enjoy the convenience of working from home or reputed company in the U.S. Work-Life Balance: We encourage a healthy balance between your reputed company and personal life. Supportive Team: Join reputed company of dedicated professionals who value innovation, collaboration, and reputed company. Apply To This Job