This job has expired.
Location: Atlanta, GA
Description:
*****If this message does not apply to you, please check out http://www.judge.com and let me know what does******
Our client is currently seeking a Senior RN Auditor - Litigation Support
Qualifications & Requirements:
Bachelor's degree in Nursing (associate degree from accredited nursing school with 4 or more years of additional clinical experience may be substituted in lieu of a bachelor's degree)
Licensed Registered Nurse
Minimum of 3 years- clinical review experience with utilization management, case management, or health care claims auditing experience preferred
Certified Professional / Hospital Coder Certification (CPC, CIC, COC, CPMA, CCS, CCS-P, RHIA, RHIT) preferred or goal that certification be obtained within 12 months
Working knowledge and experience in detecting and investigating health insurance fraud, waste, and abuse preferred
Working knowledge with healthcare coding principles to include ICD-9, ICD-10, CPT, HCPCS, RUGS, and DRG
Experience and knowledge of State and Federal healthcare regulations
Knowledge of Medicaid reimbursement and coverage policies desired
Proficient use of applicable software programs, including Microsoft Windows, Word, and Excel
Strong analytical and problem-solving skills
Excellent communication skills including written and verbal. Ability to present to large or small groups required.
Ability to work independently under general instructions
Ability to work in a team environment
Self-directed and motivated, organized, attentive to detail
Ability to manage multiple deadlines and prioritize assignments
Must be able to travel 25% based on client and business needs
Please feel free to forward this msg to ANYONE you think may be interested to DFriedman@judge.com
Looking forward to Connecting.
Dave Friedman
Sr. Healthcare Team Lead (Permanent Placement)
The Judge Group
Contact: dfriedman@judge.com
This job and many more are available through The Judge Group. Find us on the web at www.judge.com
This job has expired.
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