Remote Medicare Nurse Reviewer: Claims & Compliance Job at Commence Corporation, Virginia, IL

  • Commence Corporation
  • Virginia, IL

Job Description

Commence is seeking a Nurse Reviewer to perform expert medical record reviews of Medicare Part A/B and DMEPOS claims. You will apply clinical judgment to determine payment validity in line with national and local policies, documenting clear rationales for actions. This remote role emphasizes HIPAA compliance and precise medical notation. The ideal candidate holds an RN license, an associate degree in nursing, 2–4 years of clinical experience, and familiarity with CMS coverage policies. #J-18808-Ljbffr

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Local area

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