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Program Integrity Clinical Reviewer II
CareSource · via
Remote Communications Jobs
🌎 Remote
📍 Remote, United States | Salary: $72,200…
⏰ Full Time
Company: CareSource | Location: Remote, United States | Salary: $72,200 to $115,500 per year | Employment: Full-time | License: RN | State licensure: Not Specified
Job Summary: The Program Integrity Clinical Reviewer II contributes to the investigative process by evaluating medical records, looking for correct documentation, trends, patterns, missing information, upcoding, unbundling, etc. in relation to clinical documentation, medical standards, and CPT, HCPCS and ICD-10 codes.