Payment Integrity RN
Cambia Health Solutions(4 months ago)
About this role
The Payment Integrity RN conducts post-service review of claims to ensure appropriate reimbursement and coding accuracy by applying medical and reimbursement policies and national coding guidelines. The role supports claim determinations and collaborates with physician advisors and other departments to resolve adjudication issues. This is a remote position available to candidates located in Oregon, Washington, Idaho, or Utah.
Required Skills
- Claims Review
- Reimbursement Policy
- Clinical Auditing
- Medical Coding
- Medical Records
- Clinical Assessment
- Communication
- Microsoft Office
- Research
- Analysis
Qualifications
- Associate Degree in Healthcare
- Bachelor's Degree in Healthcare
- Registered Nurse (RN)
About Cambia Health Solutions
cambiahealth.comCambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to create a person-focused and economically sustainable healthcare system. Discover how Cambia’s dedication to cutting-edge innovation and positive transformation is helping change the healthcare industry.
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