Medical Review Nurse II - SNF/MDS
Performant(1 month ago)
About this role
The Medical Review Nurse II - SNF/MDS at Machinify performs medical claims audit reviews, working remotely as part of a team of experienced medical auditors and coders. This role involves conducting retrospective and prepayment audits for Government and Commercial Payers, contributing to the effectiveness of healthcare payment processes through intelligence and data analysis.
Required Skills
- Medical Review
- Claims Audit
- Nursing
- ICD Coding
- Utilization Management
Qualifications
- Active RN License
- 5 Years Nursing Experience
- Medical Records Review Experience
- Health Care Claims 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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