Clinical Auditor RN
Job is Expired
Location: Remote
Compensation: Salary
Staff Reviewed: Tue, Jul 30, 2024
Job Summary
A company is looking for a Clinical Auditor 2.
Key Responsibilities:
- Defending audits of medical records for denial review, disallowed charges, and utilization reviews
- Completing analysis of records for complex inpatient reviews, including DRG Downgrades and Medicare appeals
- Performing advanced reimbursement reviews and managing patient inquiries and charge hold audits
Required Qualifications:
- Must be a licensed RN
- 3 to 5 years of hospital/clinical experience
- Knowledge of MCG and/or InterQual criteria
- Experience in medical records review, claims processing, or utilization/case management
- Fundamental knowledge of Medicare/Medicaid Guidelines
COMPLETE JOB DESCRIPTION
The job description is available to subscribers. Subscribe today to get the full benefits of a premium membership with Virtual Vocations. We offer the largest remote database online...
Job is Expired
Company Overview
Company Company Name
Headquarters Headquarters
Founded Founded
Website
The company description is available to subscribers. Subscribe today to get the full benefits of a premium membership with Virtual Vocations. We offer the largest remote database online...
BECOME A PREMIUM MEMBER TO
UNLOCK FULL JOB DETAILS & APPLY
- ACCESS TO FULL JOB DETAILS AND APPLICATION INFORMATION
- HUMAN-SCREENED REMOTE JOBS AND EMPLOYERS
- COURSES, GROUP CAREER COACHING AND RESOURCE DOWNLOADS
- DISCOUNTED CAREER SERVICES, RESUME WRITING, 1:1 COACHING AND MORE
- EXCELLENT CUSTOMER SUPPORT FOR YOUR JOB SEARCH
