To support the coding department, the full-time Registered Nurse Clinical Reviewer will perform clinical validation by ensuring diagnosis codes billed by providers are supported within medical records, while working remotely from anywhere in the United States. Key responsibilities Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical record Interpret clinical guidelines and apply them to clinical reviews while maintaining high-quality case management Write clear and concise rationales in support of findings and demonstrate the ability to work in a high-volume production environment Required qualifications Minimum of two years' experience in clinical validation in a payment integrity setting required Unrestricted Registered Nurse with active RN licensure required CCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification preferred Knowledge of ICD-10 coding and basic knowledge of DRG validation and coding Ability to use Windows PC with the capability to utilize multiple applications simultaneously
...Best Best & Krieger LLP is seeking a Billing Clerk to support the Billing team by maintaining client/matter records, ensuring data integrity, and processing routine billing tasks in a fast-paced environment. Prior law firm billing experience is preferred.Ideal candidates...
DescriptionSAIC has an immediate opening for a mid to senior level Network Engineer. We are looking for someone to join our established team of dedicated network engineers supporting a wide range of customers. The Network Engineer must be a self-starter who is able to...
...display in the world. We design, build and service cutting-edge equipment that helps our... ...to the VP AGS Business Development, this person will direct the establishment... ...Units, Marketing and Equipment Business Management).Understand segment related customer roadmaps...
...A biotechnology company is looking for a remote Clinical Research Coordinator to manage decentralized clinical research activities focusing on autoimmune studies. This full-time contract position requires a Bachelor's degree and 24+ years of relevant experience. Responsibilities...
...SoftwareClient: WiproContact: Meghana GorusuCompany: SRI Tech SolutionsRole: Scrum MasterLocation: Beaverton, OR (Day 1 Onsite)Job Description:... ...to identify and measure progress.Participates with other Scrum masters to increase the effectiveness of the application of Scrum in...