Medical Review Nurse II - Commercial DME
Performant(1 month ago)
About this role
The Medical Review Nurse II - Commercial DME at Machinify performs medical claims audit reviews in a fast-paced remote environment. Joining an experienced team of medical auditors and coders, the role involves retrospective and prepayment audits on claims for Government and Commercial Payers, ensuring compliance with medical review guidelines.
Required Skills
- Medical Claims Audit
- ICD-10 Coding
- Claims Review
- Utilization Management
Qualifications
- Active RN License
- 5 Years Nursing Experience
- Experience in Claims Review
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 […]
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