Fraud and Abuse Review Nurse- Remote

Gainwell Technologies
Anchorage, AK
Category Healthcare
Remote
Job Description
Join Gainwell as a Fraud and Abuse Review Nurse- Remote and contribute your skills to help clients improve the health and well-being of their members. You'll work with a team of innovative individuals to find solutions to complex healthcare challenges, while enjoying a flexible work environment and career growth opportunities.

Requirements

  • Graduate from an accredited School of Nursing
  • Active, unrestricted RN license in good standing
  • Preferred: Bachelor's Degree in Nursing
  • Minimum of five years of clinical nursing experience with broad clinical knowledge
  • Experience in medical review and coding/billing audits for both professional and facility-based services
  • Strong understanding of medical terminology, CPT, ICD-9/10, HCPCS, and DRG coding requirements
  • Experience with government healthcare programs (Medicare, Medicaid, SCHIP)

Benefits

  • Generous, flexible vacation policy
  • 401(k) employer match
  • Comprehensive health benefits
  • Educational assistance
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