Advanced Registered Nurse

At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. We are seeking a registered nurse with experience in clinical validation to work within our coding department.
Candidate should be highly motivated, with strong clinical and coding background. This individual must have excellent communication skills and an analytical mindset to achieve and maintain high-level performance in a fast-paced environment.
This is a fulltime position (40 hours per week) Monday – Friday. You’ll enjoy the flexibility to telecommute from anywhere within the United States. Training will be conducted virtually from your home.
Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical record
Solid understanding of anatomy and physiology, diagnostic and surgical procedures developed from specialized training and extensive experience with ICD-10-PCS code assignments
Demonstrates the ability to accurately interpret the medical record
Maintains and manages case reviews with a high emphasis on quality
Knowledge of health insurance business, industry terminology, and regulatory guidelines
May consider nurses with inpatient claims auditing experience or case management experience.
Unrestricted Registered Nurse with active RN licensure required
CCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification preferred
Knowledge of ICD-10 coding
Basic Knowledge of DRG validation and coding
Ability to use Windows PC with the ability to utilize multiple applications at the same time

Must be able to sit and use a computer keyboard for extended periods of time.
Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents.

• Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, to observe holidays.
• Wellness - We care about your well-being. Learning & Development - Through continued education/mentorship on the job and our investment in LinkedIn Learning, we’re focused on your growth as a working professional.