RN Medical Reviewer
VirtualVocationsMadison, Wisconsin, United Statesjob_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.temporary
job_description.job_card.job_description
A company is looking for a Medical Claims Reviewer for a 6-month contract position.
Key Responsibilities
Conduct ESRD medical record reviews comparing documentation to EQRS and NHSN for accuracy
Determine and classify discrepancies based on type and severity of errors
Participate in quality control activities and assist with special projects as assigned
Minimum Qualifications
Active, unrestricted RN licensure in the United States or compact multistate RN license
Associate Degree in Nursing or graduate of an accredited School of Nursing
Two years of clinical experience plus two years of experience in utilization / medical review or quality assurance
Strong clinical background in dialysis, managed care, or medical-surgical settings
Proficiency with word processing software and Microsoft Office
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Medical Reviewer • Madison, Wisconsin, United States
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