Medical Review Nurse II - Home Health
Performant(1 month ago)
About this role
The Medical Review Nurse II - Home Health is responsible for performing medical claims audit reviews, working alongside experienced medical auditors and coders on retrospective and prepayment audits for Government and Commercial Payers. This role involves collaborating remotely within a dynamic multi-location team to ensure compliance with medical review guidelines and to support the appeals process when necessary.
Required Skills
- Medical Coding
- Auditing Claims
- Utilization Review
- Regulatory Compliance
Qualifications
- Active RN License
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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