Medical Review Nurse II - Government/Clinical Outpatient Focus
Performant(1 month ago)
About this role
The Medical Review Nurse II at Machinify is responsible for performing medical claims audits primarily for Government and Commercial Payers. This role involves collaborating with a team of experienced medical auditors to conduct retrospective and prepayment audits in a remote, fast-paced environment.
Required Skills
- Medical Auditing
- ICD-10 Coding
- Claims Review
- Utilization Management
Qualifications
- Active RN License
- 5 Years Nursing Experience
- Medical Records Review Experience
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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