Payment Integrity RN - Burlington
1 month ago

Job summary
We are looking for a Payment Integrity RN to join our Clinical Audit Team.The Payment Integrity Clinician I conducts post service review of claims in prepayment, post payment or audit capacity to ensure appropriate clinical review, reimbursement of claims and accuracy of coding.
Applies resources, including but not limited to, internal medical and reimbursement policies and correct coding guidelines based on national standards to support claim review and determination.
Job description
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