Medical Review Nurse Analyst - RN
Company: VirtualVocations
Location: Naperville
Posted on: October 16, 2024
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Job Description:
A company is looking for a Medical Review Nurse Analyst RN to
review medical documentation submitted to Medicare.
Key Responsibilities
Review claims to ensure services are medically necessary and
correctly coded based on Medicare guidelines
Educate providers on billing, documentation requirements, and the
Targeted Probe and Educate program
Monitor provider progress and deliver ongoing education to ensure
correct reimbursement
Required Qualifications
Associate or Bachelor Degree in Nursing
Active RN license applicable to the state of practice
4 or more years of experience in clinical nursing (preferred)
1 or more years of medical claims review experience (preferred)
Experience with Medicare contracts and government Medicare
principles (preferred)
Keywords: VirtualVocations, Cicero , Medical Review Nurse Analyst - RN, Healthcare , Naperville, Illinois
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