Medical Bill Review (Workers Compensation) Job at Elite, Remote

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  • Elite
  • Remote

Job Description

Description of Role: Clinical Bill Review Nurse for WORKERS COMPENSATION cases

Required Credentials: LPN or RN (active and unencumbered)
Hourly Pay Range: $35-$40 per hour (non-exempt)
Location: REMOTE - Work from Home

Performs a complete review of medical records associated with the bill and a line-by-line thorough audit of the itemized bill scrutinizing for the following:

• Reviews medical bills for unrelated charges, non-compensable charges, coding and billing errors.

• Achieves percent of savings expectations through their review billing.

• Communicates audit findings to physicians’ offices and hospitals.

• Ensures proper documentation and record keeping for all interactions.

• Identify charges not supported by documentation.

• Identify charges not related to the work comp injury.

• Identify charges that should not be unbundled.

• Diagnosis Related Group Validation.

• Implant verification/proof of service.

• Correct use of CPT, Diagnosis, Procedure, HCPCS codes as well as modifiers.

• Unlisted or BR code verification and/or re-pricing.

Credentials: LPN or RN

Job Tags

Hourly pay, Remote work,

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