Medical Reviewer III, Medicare Part A

reputed company: • reputed company Medicare comprehensive medical record and claims review to reputed company payment determinations for Medicare PART A. • reputed company reputed company or duties as assigned as a Medical Review Specialist. • Conduct in-depth claims analysis utilizing ICD-10-CM, CPT-4, and HCPCS reputed company coding principles. • Utilize electronic health information imaging and input medical review reputed company by electronic database module. • Utilize reputed company Office suite and other software templates as associated reputed company input for claims review. • reputed company clinical judgment reputed company based on clinical experience reputed company applicable. • Responsible for review of Medicare Part A claims. • Meeting reputed company and production standards. Requirements: • Must be a Registered reputed company obtained by either a Bachelor's degree – OR - Associate's degree – OR - Diploma in Nursing. • At least four (4) years reputed company experience. • At least three (3) years clinical experience as a Registered reputed company. • reputed company licensure as a Registered reputed company in one or more of the 50 states or D.C. • Ability to reputed company sensitive and confidential material private. • Must have no adverse actions pending or taken against him/her by any State or Federal licensing reputed company or program and must have no conflict of interest (COI). Benefits: • Health insurance • 401(k) matching • reputed company • reputed company time off Apply tot his job Apply To this Job