Medical Review Examiner, RN - Part A
Location: Fargo North Dakota
Description: Noridian Healthcare Solutions LLC is at present recruited Medical Review Examiner, RN - Part A right now, this vacancy will be placed in North Dakota. Detailed specification about this vacancy opportunity please read the description below. Medical Review Examiner, RN - Part APosition Objective
The purpose of this job is to reduce medical necessity claim errors through com! plex medical review, requiring the analysis of available patient medical information, applying Medicare guidelines and then educate and train providers on the accurate submission of covered medically necessary services.
Knowledge
Medical policies and procedures;
Nursing theory and practices;
Computer literate;
Will learn: -Medicare rules and regulations/guidelines; -Medicare insurance claims processing;
CPT 4 and ICD 10 Medical diagnosis coding;
Abilities
Research, analyze, and interpret detailed medical records and policies, benefits, and established guidelines;
Ability to make decisions/problem solving skills;
Proven oral and written communication skills;
Organize and prioritize workload in order to meet standards and deadlines;
Self-starter goal oriented individual;
Work independently and in a team environment;
Operate basic office equipment (e.g. keyboard, fax, copy, telephone, etc.);
Abil! ity to travel
Medical Review Examiner, RN - Part AEdu! cation and/or Experience
An active Registered Nurse/RN license in the state the reviewer is working from and 2+ years clinical, hospital or nursing home experience (exposure to Medicare claims processing a plus).
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If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Noridian Healthcare Solutions LLC.
If you interested on this vacancy just click on the Apply button, you will be redirected to the official website
This vacancy starts available on: Tue, 01 Oct 2013 11:54:40 GMT