Remote RN Auditor

Seeking a licensed RN (any state) with the following documented experience:

* Medical record review for medical necessity following CMS NCD/LCD/LCA guidance for outpatient services, items and procedures

* Ability to document findings of lack of medical necessity to justify a particular CPT/HCPCS code

* CPC or similar certification required-If not held, must have documented experience conducting FWA reviews

* Inpatient, RN Case Manager, HEDIS, DRG type of audits will not qualify

* Prior experience working with SIUs, OIG, UPICS, MACS, MEDIC preferred

Job Type: Full-time

Pay: $30.00 – $42.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Vision insurance

Medical Specialty:

• Home Health
• Hospice & Palliative Medicine
• Primary Care

Physical Setting:

• Outpatient

Experience:

• medical necessity auditing: 3 years (Required)

License/Certification:

• RN (Required)
• Medical Coding Certification (Required)

Work Location: Remote