RN, Chart Reviewer Job at ProKatchers LLC, New York, NY

RXJ5YXlwQWFSeU5qdjdoTklabXRpQmR3elE9PQ==
  • ProKatchers LLC
  • New York, NY

Job Description

Job Description

Job Title : RN, Chart Reviewer

Location : 50 Water Street, New York, NY 10004

Duration : 3+ Months contract

Education : BA in Nursing Required

Shift Details : Hybrid, M-F 9-5

Job Description:

  • Review medical records and healthcare claims to determine the accuracy and compliance of billed codes with appropriate regulations, standards, policies and procedures.
  • Conduct audits of high-risk claims and billing patterns to ensure adherence to healthcare regulation and policy and detect potential FWA.
  • Create detailed reports with medical review findings that include research, rationale, sources and corrective action recommendations to the SIU Department. The reports will also validate whether audited claims should be denied, recouped and if other mitigation strategies are required.
  • Participate as needed on provider calls to discuss findings and rationale of medical review.

Job Tags

Contract work, Shift work,

Similar Jobs

Bethesda Health

Licensed Practical Nurse (LPN) Job at Bethesda Health

 ...: 403b, daily pay, bonuses, career advancement opportunities, and holiday pay. Medical, dental, vision, prescription, and life insurance available for regular status full and part time employees. ***Sign On Bonus*** Current openings include: LPN/RN FT/PT Day... 

Global Resource Solutions, Inc.

Security Escort Job at Global Resource Solutions, Inc.

 ...Resource Solutions, Inc. (GRS) is seeking an enthusiastic, motivated, detail orientated, and talented individual for the position of Security Escort. Job Description: Summary: The Escort is primarily responsible to perform protective service and escort work such as... 

Total Quality Logistics

Entry Level Recruiter Job at Total Quality Logistics

 ...and recruiting leadership What you need: Recruiting experience preferred, but no experience required - we provide paid training...  ...Total Quality Logistics (TQL) is one of the largest freight brokerage firms in the nation. TQL connects customers with truckload... 

Terra Kai JUCE Organics

Be a part of a healthy brand in Costco Job at Terra Kai JUCE Organics

 ..., and being able to work independently, then promoting JUCE in Costco is the position for you. Spread the good news of JUCE to everyone...  ...brand ambassadors make $160-$250 per day. Schedule: ~ Part Time: 7.5 Hour shifts ~2 to 4 days a week, days vary ~ The hours... 

Sephora SA

Asset Protection Partner, State Street (Chicago) Job at Sephora SA

 ...) | Hourly/Salaried: Hourly (Non-Exempt) | Full Time/Part Time: Full Time | Position Type: Regular Your Role at Sephora Asset Protection is constantly evolving to ensure we have products available to delight our clients. Our action-oriented leaders employ leading...