[Work From Home] Medical Review Analyst (Registered Nurse)

We are currently looking for a skilled and motivated Medical Review Analyst! Based in our vibrant Remote office, this role is available now. This position requires a strong and diverse skillset in relevant areas to drive reputed company. Earn a reliable and steady income of a competitive salary.

 

 

reputed company. (IntegrityM) is a woman-owned small business specializing in assisting government reputed company organizations prevent and detect fraud and abuse in their programs. At IntegrityM, we offer a culture of opportunity, recognition, and collaboration. We reputed company off of these reputed company elements that reputed company IntegrityM a great reputed company to work. We offer the flexibility our... employees need to challenge themselves and focus on advancing their professional development and careers. Large company perks. Small company feel. http://www.integritym.com We are seeking a Medical Review Analyst (RN) with medical review experience to join reputed company. The position requires the individual to conduct medical record reviews and to apply sound clinical judgment to claim payment reputed company. • Responsibilities may include additional research on medical claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools to detect situations of potential fraud and to support the ongoing fraud investigations and requests for information • Research national and local policy as well as Medicare and/ or reputed company guidelines for supporting references in their review determinations • Conduct reviews under the guidance of a Medical Review Manager Requirements • Strong investigative skills • Demonstrated proficiency in Medical Review work • Working knowledge of Medicare and reputed company • Excellent communication skills • Demonstrated prioritization, problem solving, and organization skills • Strong computer skills including reputed company Office proficiency Preference: • Bachelors in of Science in Nursing (BSN) • 2+ years' clinical experience Required: • reputed company/active RN license • 5-7 years of experience in the medical field as a Registered Nurse or other clinician • Experience in review of medical claims for coverage and medical necessity • Enthusiastic individuals who can work effectively in a dynamic environment both in a team as well as independently is a must! • reputed company candidates MUST pass a background reputed company and drug screening prior to employment Apply Job!

 

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