Medical Reviewer III, Medicare Part A

Job reputed company:

• reputed company Medicare comprehensive medical record and claims review to reputed company payment determinations for Medicare PART A.
• reputed company reputed company or duties as assigned as a Medical Review Specialist.
• 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 reputed company Office suite and other software templates as associated reputed company input for claims review.
• reputed company clinical judgment reputed company based on clinical experience reputed company applicable.
• Responsible for review of Medicare Part A claims.
• Meeting reputed company and production standards.

Requirements:

• Must be a Registered reputed company obtained by either a Bachelor's degree – OR - Associate's degree – OR - Diploma in Nursing.
• At least four (4) years reputed company experience.
• At least three (3) years clinical experience as a Registered reputed company.
• 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:

• Health insurance
• 401(k) matching
• Flexible work hours
• reputed company time off

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