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Telecommute Healthcare Fraud Waste and Abuse Clinical Reviewer

Company: VirtualVocations
Location: Kenosha
Posted on: April 17, 2019

Job Description:

A healthcare billing services company has an open position for a Telecommute Healthcare Fraud Waste and Abuse Clinical Reviewer.Candidates will be responsible for the following: Identifing aberrancies and trends related to claim submissions by providers, facilities and pharmaciesCompiling and preparing findings identifying key areas of concernUsing knowledge of healthcare coding, conduct reviews of medical records and claimsApplicants must meet the following qualifications:Knowledge of federal and state guidelines as well as ICD, CPT, HCPCS, DRG, and REV codesRegistered Nurse with a current, valid unrestricted licenseMinimum of 3 years claims knowledge (billing or reviewing)Minimum of 3 years clinical experience as a registered nurseAbove average proficiency with MS Word and ExcelAbility to quickly adapt to different anti-fraud technology solutions

Keywords: VirtualVocations, Kenosha , Telecommute Healthcare Fraud Waste and Abuse Clinical Reviewer, Healthcare , Kenosha, Wisconsin

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