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Professional Nurse

Company: Gainwell
Location: Montgomery
Posted on: January 12, 2022

Job Description:

Gainwell Technologies LLC

Job Description: Our claims team is seeking to fill an opening for an RN/CPC. Individual will need to be a Registered Nurse in the State of Alabama and a Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC). -This person conducts in-depth reviews of suspended claims to ensure coding and accuracy requirements are met. -Claims are processed according to Medicaid and NCCI (National Correct Coding Initiative) policies and procedures. -This person reviews consent forms for accuracy. -This person reviews provider appeals and various reports to ensure accuracy. -This person also performs other job duties as outlined by leadership. - - - The following skills are REQUIRED for this position:--- - - -Registered Nurse in State of Alabama--- - - -CPC (Certified Professional Coder) through AAPC--- - - -Maintain confidentiality and comply with HIPAA Additional skills needed for this position:--- - - -Strong research skills--- - - -Strong analytical and problem-solving skills--- - - -Ability to multi-task and meet deadlines--- - - -Attention to detail--- - - -Good oral and written skills--- - - -Ability to work effectively on an individual basis or in a team environment--- - - -Strong time management skills--- - - -Willing to cross train and help other departments/teams as needed or work special projects--- - - -Basic knowledge of Microsoft Office Outlook, Word and Excel--- - - -Ability to interact with Medicaid Agency Personnel, Physicians and with interoffice departments Preferred skills:--- - - -Working knowledge of CPT, ICD-10, HCPCS and NCCI--- - - -Basic knowledge of medical terminology and anatomy--- - - -Knowledge of Unclassified Drugs and NDCs--- - - -Knowledge of Medicaid and/or Medicare billing guidelines

Keywords: Gainwell, Montgomery , Professional Nurse, Healthcare , Montgomery, Alabama

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