Top 357 Nurse reviewer Jobs in United States

RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR
UnitedHealth Group —San Juan, PR
- Full-time
- RN License
- Pass drug screening
- Research
Registered Nurse (RN) – Clinical Attestation Reviewer (Contractor)
Intelvio —Lynnwood, WA
- $50 an hour
- Contract
- Background check
- Blood sampling
- RN License
- Flexible schedule
Quick Apply
Licensed Practical Nurse Referral Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $34.57 an hour
- Nursing
- Microsoft Excel
- Microsoft Outlook
UAS Nurse Reviewer
HAMASPIK CHOICE INC —Spring Valley, NY
- $95,000 - $97,000 a year
- Full-time
- RN License
- Mid-level
- Nursing
Quick Apply
Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $24.13 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Clinical Quality Reviewer - REMOTE - RN - US Citizen Required
TEEMA —Phoenix, AZ
- $41 - $44 an hour
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
Quick Apply
14d
Clinical Quality Reviewer - REMOTE - LCSW OR RN - US Citizen Required
TEEMA —Phoenix, AZ
- $41 - $44 an hour
- Full-time
- Remote
- Nursing
- Surgery
- RN License
Quick Apply
14d
Medical Review Nurse
Verse Medical —Remote
- Full-time
- Remote
- Surgery
- Writing skills
- Mid-level
11d
Nurse Itemized Bill Reviewer (IBR Analyst)
Machinify —California City, CA
- $80,000 - $90,000 a year
- Remote
- Microsoft Excel
- LVN
- RN License
- Health savings account
- Health insurance
Complex Medical Bill Reviewer
Enlyte —Remote
- $53,500 - $70,000 a year
- Full-time
- Remote
- Surgery
- LVN
- RN License
- Health savings account
- AD&D insurance
Medical Record Review Nurse (RN)-New York Licensed
National Medical Reviews, Inc. —Remote
- $65,000 - $70,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Employee assistance program
- Flexible schedule
Quick Apply
Traveling Nurse Reviewer
Staffing Solutions Organization LLC —Remote
- $73,000 - $83,000 a year
- Full-time
- Experience working with individuals with developmental disabilities
- Nursing
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Utilization Review Nurse
Cobalt Benefits Group LLC —Orlando, FL
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
RN - Registered Nurse - Clinical Documentation Improvement Educator
Geisinger —Remote
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Oasis Reviewer, Remote
Penn Highlands Healthcare —Saint Marys, PA
- Full-time
- Remote
- RN License
- Customer service
- Mid-level
- Travel reimbursement
- Health insurance
Quick Apply
Full-time Nurse Practitioner Clinical Reviewer
TapestryHealth —Remote
- $115,000 - $125,000 a year
- Full-time
- Remote
- Microsoft Word
- Nursing
- Microsoft Excel
Quick Apply
Second Level Reviewer I PRN Remote
AdventHealth Corporate —Altamonte Springs, FL
- $31.82 - $59.17 an hour
- PRN
- Remote
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
Clinical Documentation Integrity (CDI) Analyst (Remote)
University Hospitals —Shaker Heights, OH
- $79,331 - $124,051 a year
- Remote
- Nursing
- Medicine
- RN License
Remote Home Health RN – Medical Claims Reviewer
Broadway Ventures —Remote
- $60,000 - $63,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Customer service
- Disability insurance
- Dental insurance
Quick Apply
DRG Nurse Reviewer Appeals and Hearings- Remote
Gainwell Technologies —Florida
- $95,000 - $110,000 a year
- Full-time
- Remote
- RN License
- Presentation skills
- Travel
- Health insurance
- Tuition reimbursement

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nurse reviewer jobs near united states

RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR

UnitedHealth Group -
San Juan, PR

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Job Details

Full-time

Qualifications

Foreign language proficiency
RN License
Productivity software

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment.

Primary Responsibilities:

Clinical Case Reviews -75%
- Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported
- Maintain standards for productivity and accuracy. Standards are defined by the department
- Provide clear and concise clinical logic to the providers when necessary
- Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization
- Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
- Investigate and pursue recoveries
- Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
- Use pertinent data and facts to identify and solve a range of problems within area of expertise
- Other internal customer correspondence and team needs - 15%
- Attend and provide feedback during monthly meetings with assigned internal customer department
- Provide continuous feedback on how to improve the department relationships with internal team members and departments
Continuing education - 10%
- Keep up required Coding Certificate and/or Nursing Licensure
- Complete compliance hours as required by the department

***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Coding Certificate or Nursing Licensure, for example:
Puerto Rico Registered Nurse
Certified Professional Coder (CPC) + CPC A
Certified Inpatient Coder (CIC)
Certified Outpatient Auditor (COC)
Certified Professional Medical Auditor (CPMA)
Certified Coding Specialist (CCS)
Demonstrated proficiency with computers, including Microsoft Suite of products
Ability to observe an on-site work model
Willing or able to work from Monday to Friday, 40 hours per week during our business operating hours of 8am - 7pm ATL
Professional proficiency in both English and Spanish (Please note that an English proficiency assessment will be required for this position)

Preferred Qualifications:

Experience working with medical claims platforms
Medical record coding experience with experience in Evaluation and Management Services in the outpatient/office setting
Presentation or policy documentation experience
Proven knowledge of CMS and AMA coding rules specific to CPT, HCPCS
Proven knowledge of CMS Coverage, Federal and State Statues, Rules and Regulations
Proven knowledge of Medicaid/Medicare Reimbursement methodologies
Proven working knowledge of the healthcare insurance/managed care industry
Proven working knowledge of medical terminology and claim coding

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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Refine Your Search

nurse reviewer jobs in united states

RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR

Registered Nurse (RN) – Clinical Attestation Reviewer (Contractor)

Licensed Practical Nurse Referral Reviewer

UAS Nurse Reviewer

Referral Management (Non-Nurse) Reviewer

Clinical Quality Reviewer - REMOTE - RN - US Citizen Required

Clinical Quality Reviewer - REMOTE - LCSW OR RN - US Citizen Required

Medical Review Nurse

Nurse Itemized Bill Reviewer (IBR Analyst)

Complex Medical Bill Reviewer

Medical Record Review Nurse (RN)-New York Licensed

Traveling Nurse Reviewer

Utilization Review Nurse

RN - Registered Nurse - Clinical Documentation Improvement Educator

Oasis Reviewer, Remote

Full-time Nurse Practitioner Clinical Reviewer

Second Level Reviewer I PRN Remote

Clinical Documentation Integrity (CDI) Analyst (Remote)

Remote Home Health RN – Medical Claims Reviewer

DRG Nurse Reviewer Appeals and Hearings- Remote

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