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Role Overview:
- Review medical records and itemized bills to ensure billing accuracy and appropriate care.
- Apply clinical judgment to assess medical necessity and support compliance.
Requirements:
- Active RN license and 5+ years inpatient clinical experience required.
- 1+ year itemized bill review and coding knowledge (CPT, ICD-10, HCPCS).
Benefits:
- Salary $78k-$99.2k annually based on experience and location.
- Flexible PTO, health benefits, 401(k), education assistance, remote work.
Partner Company
Our partner is a healthcare services company that conducts medical claims and utilization reviews to ensure accurate billing and appropriate care. They offer a collaborative, quality-focused remote environment with opportunities for professional development.