Remote RN Billing & Care Review Specialist

Partner Company; United States; Remote; USD 78,000 - 99,000; Full time

Benefits offered by this job

Flexible PTO

Health benefits

401(k)

Education assistance

Remote work

Job summary

Partner Company is seeking an experienced registered nurse to support medical billing review and utilization reviews. You will review medical records and itemized bills to ensure billing accuracy and appropriate care, applying clinical judgment to assess medical necessity.

The role is remote, with flexible PTO, health benefits, a 401(k) plan, and education assistance. Requires 5+ years inpatient nursing experience and coding knowledge (CPT/ICD-10/HCPCS).

Qualifications

• Active RN license with 5+ years inpatient clinical experience.
• At least 1 year of itemized bill review and coding knowledge (CPT, ICD-10, HCPCS).
• Ability to apply clinical judgment to assess medical necessity.

Responsibilities

• Review medical records and itemized bills to ensure billing accuracy and appropriate care.
• Apply clinical judgment to assess medical necessity and support compliance.

Skills

RN licensure

Inpatient clinical experience

Coding knowledge (CPT/ICD-10/HCPCS)

Job description

Partner Company is seeking an experienced registered nurse to support medical billing review and utilization reviews. You will review medical records and itemized bills to ensure billing accuracy and appropriate care, applying clinical judgment to assess medical necessity.

The role is remote, with flexible PTO, health benefits, a 401(k) plan, and education assistance. Requires 5+ years inpatient nursing experience and coding knowledge (CPT/ICD-10/HCPCS).