RN Medical Review Appeals Auditor
VirtualVocationsMilwaukee, Wisconsin, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Medical Review Clinical Appeals Auditor (RN) with a DME focus.
Key Responsibilities
Conducts clinical reviews and Appeals reviews on medical records and audit findings
Documents Appeals results accurately and provides insights for continuous improvement
Monitors and reports on work conducted in accordance with the Appeals process
Required Qualifications
Active unrestricted RN license in good standing
5+ years of relevant experience in a provider or payer environment
Experience with ICD-9 / ICD-10 coding, HCPS / CPT coding, and medical billing
Strong technical aptitude and intermediate to advanced Excel skills
Prior experience in auditing, utilization management, or similar roles preferred
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Rn Auditor • Milwaukee, Wisconsin, United States
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