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Job #: 1511905

Job Title: Remote Registered Nurse Validator

Salary / Package: $60-70k+ dependent on experience

Specialties: DRG Auditors, Registered Nurse

Locations: Home-Based/Remote, AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY

Town / City: Remote

Job Type: Permanent full-time

Job description:

- Identify recovery opportunities for clients through clinical validation reviews by examining the documentation to determine the accuracy of the DRG

- Confident in MS-DRGs and APR-DRGs

- Writes clear, accurate and concise rationales in support of findings

- Prior experience working with third-party payers highly desired

Qualifications required:

- RN with Active License

- CCS desired

- 3+ years of DRG Auditing/Validation experience

- Experience working Denials/Appeals

- Previous experience working with NICU, ICU, OR and PACU cases preferred

- Excellent verbal and written communication


- These aren't contract or temp to hire positions, H.I.M. Recruiters only represents what we feel are HIM Career opportunities and have been doing so for nearly 30 years!

- These are permanent positions working directly for a rapidly growing organization!

- Solid benefit package

- $60-70K+ dependent on experience

- Job #1511905

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