DRG Clinical Validation Nurse
MedReview, Inc. · US
Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority i...
Job description
Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews . We are seeking a registered nurse with experience in clinical validation to work within our coding department. Candidate should be highly motivated, with strong clinical and coding background. This individual must have excellent communication skills and an analytical mindset to achieve and maintain high-level performance in a fast-paced environment. This is a fulltime position (40 hours per week) Monday – Friday. You’ll enjoy the flexibility to telecommute from anywhere within the United States. Training will be conducted virtually from your home. If you are interested in this role with MedReview, please let us know. Here is what we are searching for: Responsibilities: Qualifications: - Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical record - Must be able to interpret clinical guidelines/criteria and apply to clinical review - Solid understanding of anatomy and physiology...