Medical Review Nurse II - Clinical Validation
Performant(13 days ago)
About this role
The Medical Review Nurse II - Clinical Validation role involves performing medical claims audit reviews for government and commercial payers. The position requires collaboration with auditing teams, supporting appeals, and staying updated on healthcare regulations, all in a remote work environment.
Required Skills
- ICD-10
- CPT-4
- HCPCS
- Medical Coding
- Claims Review
- Medical Auditing
- Utilization Management
- Healthcare Regulations
- Medical Billing
- Clinical Decision-Making
About Performant
performantcorp.comPioneering Payment Precision Take control with our solutions, reclaim capital, restore integrity, and transform your financial future. Get Started Today Get Started Today The Premier Independent Healthcare Payment Integrity Company in the US Performant Healthcare Solutions® technology-enabled audit, eligibility, recovery and data analytics solutions are designed to help health plans identify improper payments and recoup […]
View more jobs at Performant →Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at Performant
Similar Jobs
Medical Coding Auditor
PacificSource Health Plans(14 days ago)
Medical Coding Auditor
PacificSource Health Plans(14 days ago)
Clinical Provider Auditor II
Elevance Health(13 days ago)
Medical Coding Auditor
PacificSource Health Plans(8 days ago)
Medical Coding Appeals Analyst
Elevance Health(1 month ago)
Medical Coding Auditor
PacificSource Health Plans(8 days ago)