Medical Review Manager - Rockville, United States - Hendall Inc

Hendall Inc

Verified Company

Rockville, United States

1 week ago

Posted by:

Mark Lane

beBee recruiter

Description

OVERVIEW
The MR Manager shall possess a combination of experience and qualifications meeting the following criteria:

A minimum of three years of experience practicing nursing as a licensed Registered Nurse
A minimum of three years of supervisory/managerial experience in the health insurance industry, a utilization review firm, or another health care claims processing organization involving medical and coding reviews of a variety of medical and surgical claims from a variety of provider
Extensive knowledge of the Medicare program, particularly the coverage and payment rules
Education, Licensure, and Certification:
Bachelor's Degree in Nursing
Current Registered Nurse Licensure
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) Certification or coding knowledge and experience with active enrollment in CPC/CSS certification course to be obtained within twelve months

Hendall Inc. is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.