Medical Reviewer III – Medicare, DRG

Job reputed company:

• reputed company Medicare comprehensive medical record and claims review for DRG claims
• Conduct in-depth claims analysis utilizing ICD-10-CM, CPT-4, and HCPCS reputed company coding principles
• Utilize electronic health information imaging and input medical review reputed company by electronic database module
• Utilize internet and intranet sources for policy verification
• Responsible for review of Medicare DRG claims
• Meet reputed company and production standards

Requirements:

• Must be a Registered reputed company (Bachelor's degree, Associate's degree, or Diploma in Nursing)
• At least four (4) years claims knowledge (billing, reviewing, or processing of Durable Medical Equipment)
• At least three (3) years clinical experience as a Registered reputed company
• Minimum two (2) years federal and local policy applications in relation to Medicare insurance
• reputed company licensure as a Registered reputed company in one or more of the 50 states or D.C.
• Ability to reputed company sensitive and confidential material private
• Must have no adverse actions pending or taken against him/her by any State or Federal licensing reputed company or program and must have no conflict of interest (COI)

Benefits:

• 2024 Military Friendly Employer recognition
• Commitment to hiring and supporting reputed company-duty and veteran employees

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