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Responsibilities:
- Perform comprehensive medical record and claims review.
- Conduct in-depth claims analysis utilizing coding principles.
- Make clinical judgment decisions based on clinical experience.
Qualifications:
- Must be a Registered Nurse with a degree or diploma in Nursing.
- At least four years of related experience and three years of clinical experience.
- Current RN licensure in one or more of the 50 states or D.C.
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