Talent.com
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsBakersfield, California, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.

Key Responsibilities

Conduct medical claim reviews for complex services and determine coverage and reimbursement based on established criteria

Document medical rationale for payment or denial of services and provide education on medical reviews and coding procedures

Participate in quality control activities and assist with special projects as assigned by management

Required Qualifications, Training, and Education

Associate Degree in Nursing or graduate of an accredited School of Nursing

Two years of clinical experience

Active RN licensure in the state hired or an active compact multistate RN license

Preferred experience in medical review or utilization review

Proficient in Microsoft Office

serp_jobs.job_alerts.create_a_job

South Carolina • Bakersfield, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Certified Coder Physician

Certified Coder Physician

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a Coder Physician.Key Responsibilities Abstract, code, sequence, and interpret clinical information from various medical records Assign correct principal and secondary d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Experience Representative

Patient Experience Representative

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Experience Representative (Customer Experience Representative) to provide support in a remote setting. Key Responsibilities Serve as the first point of contact f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Health Claims Examiner

Health Claims Examiner

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a Health Claims Examiner I.Key Responsibilities Review medical documents to ensure completeness and validity for claim adjudication Determine covered services and calcul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Outpatient Coding Quality Specialist

Outpatient Coding Quality Specialist

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a Coding Quality Specialist- Outpatient.Key Responsibilities Perform complex retrospective analysis of medical record documentation to identify coding and billing errors ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Registered Health Information Technician

Registered Health Information Technician

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a HB HIM Coding Specialist 3.Key Responsibilities Code and abstract inpatient records using ICD-10-CM and ICD-10 PCS codes, ensuring compliance with coding guidelines Ma...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Medical Coder

Medical Coder

TradeJobsWorkForce93305 Bakersfield, CA, US
serp_jobs.job_card.full_time
Medical Coder Job Duties : Accounts for coding and abstracting of patient encounters, includ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Remote Medical Insurance Verifier

Remote Medical Insurance Verifier

VirtualVocationsBakersfield, California, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Remote Medical Insurance Verification Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Make inbound / outbound calls ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Scribe - Comprehensive Care Center

Medical Scribe - Comprehensive Care Center

Clinica Sierra VistaBakersfield, CA, US
serp_jobs.job_card.full_time
Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation!.We’re honored to serve the men and women of the fields. We also offer care and suppor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
State Licensed Clinical Coding Auditor

State Licensed Clinical Coding Auditor

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
Key Responsibilities Conduct MS-DRG and APR-DRG coding reviews to ensure accurate DRG assignment and identify overpayments Perform clinical coding reviews using ICD-10-CM / PCS guidelines and main...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Illinois Certified Health Information Coder

Illinois Certified Health Information Coder

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a HIM Certified Coder.Key Responsibilities Accurately code hospital inpatient, outpatient, and professional fee encounters using appropriate coding systems Provide inter...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Records technician

Medical Records technician

TradeJobsWorkForce93303 Bakersfield, CA, US
serp_jobs.job_card.full_time
Organize and manage patients' health information data.Ensure paperwork is properly filled out.Verify accuracy and accessibility of files. Communicate with physicians and other healthcare professiona...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Behavioral Health Coding Auditor

Behavioral Health Coding Auditor

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a Coding and Compliance Auditor-Behavioral Health.Key Responsibilities : Perform operational and financial audits of provider claims to identify overpayments and resolve r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Patient Intake Coordinator

Patient Intake Coordinator

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Intake Coordinator - Specialty Pharmacy.Key Responsibilities Support patients and providers in navigating insurance benefits for prescribed injectable therapies...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Radiation Oncology Coder

Radiation Oncology Coder

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a Radiation Oncology Coder Remote.Key Responsibilities Review accounts for accuracy using the charge capture audit system in compliance with guidelines Compare medical r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Medical Records Technician

Medical Records Technician

TradeJobsWorkForce93309 Bakersfield, CA, US
serp_jobs.job_card.full_time
Medical Records Technician Job Duties : Maintains medical records operations by following policies and procedures; ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Patient Authorization Specialist

Patient Authorization Specialist

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Connection Authorization Associate to manage pre-certifications and authorizations for outpatient services. Key Responsibilities Secure pre-certifications and au...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Medical Record Technician

Medical Record Technician

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a Risk Adjustment Medical Record Scheduling & Imaging Technician.Key Responsibilities Load medical records into the coding system and link to appropriate chart IDs Sched...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
EHR Specialist

EHR Specialist

Legacy Staffing Solutions, Inc.Bakersfield, CA, United States
serp_jobs.job_card.full_time
Legacy Staffing is seeking a skilled.This role is central to optimizing the use of the.The EHR Specialist will work closely with cross-functional teams to customize, implement, and enhance EHR func...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Patient Financial Navigator

Patient Financial Navigator

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Financial Navigator I.Key Responsibilities Ensure accurate patient medical records, including demographics and insurance coverage Provide financial education t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Health Information Management Specialist

Health Information Management Specialist

VirtualVocationsBakersfield, California, United States
serp_jobs.job_card.full_time
A company is looking for a HIM / RCM Product Specialist.Key Responsibilities Act as the primary HIM expert for the Products and Technology team and provide strategic input on AI-driven HIM solution...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30