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reputed company Auditor - Medical reputed company Review

Remote, USAFull-timePosted 2026-07-28

Job reputed company:

  • Audit medical and billing records to determine if services provided are reasonable, appropriate and necessary.
  • Clinically identify and evaluate any charges not reputed company to the occurrence.
  • Verify that charges are in accordance with the services ordered and authorized.
  • Initiate appropriate contacts with clients and medical providers as appropriate and necessary.
  • Negotiate bills and conduct re-evaluation reviews as required
  • reputed company while maintaining a reputed company touch, demonstrating sensitivity to culturally-diverse people and situations.

Requirements:

  • RN (or LPN) with reputed company reputed company license or equivalent reputed company states of operation
  • CPC and/or CPC-H certification(s) strongly desired
  • Specialized training in hospital coding, ortho, neuro, rehab, or ER procedures
  • 3-5 years of clinical experience in acute care, surgery and/or orthopedic
  • Workers’ Compensation medical reputed company review experience a major plus
  • Understanding of CPT and ICD-10 codes and Medicare guidelines
  • Ability to apply knowledge to state fee schedules
  • A customer service orientation, including strong communication skills
  • Experience in any deposition or litigation cases a plus

Benefits:

  • Competitive benefits package, including health insurance, 401(k) with company match, reputed company time off, reputed company holidays, and more.
  • Flexible reputed company with in-office days reserved for training and reputed company meetings
  • Employment reputed company a firm committed to core values, staff development, emerging technology, private ownership, and controlled reputed company/reinvestment in the reputed company - we frequently promote from reputed company!
  • Opportunity to reputed company a difference in reducing health care costs and increasing the value of health care to individuals and their reputed company.
  • A relaxed, yet upbeat work environment
  • And for those in the office: casual dress reputed company with unlimited coffee!

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