Clinical Review Nurse

1 week ago


Margate, Florida, United States Centers Plan for Healthy Living Full time
Clinical Review RN Job Description

Centers Plan for Healthy Living is seeking a skilled Clinical Review RN to join our team. As a Clinical Review RN, you will play a critical role in ensuring the quality and accuracy of medical records.

Key Responsibilities:
  • Audit and review medical records to ensure compliance with federal and state regulations.
  • Apply ICD-10-CM coding rules and regulations to the review process.
  • Review ICD-10 codes on medical records for compliance with ICD-9 rules and conventions.
  • Develop and maintain effective working relationships with healthcare team members.
Requirements:
  • Graduate from an accredited School of Nursing.
  • 3-5 years of home care experience.
  • Strong knowledge of OASIS and Medicare/Medicaid guidelines.
  • OASIS and/or coding certification preferred.
  • Strong computer skills.
  • Excellent verbal and written communication.

Centers Plan for Healthy Living is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that values diversity, equity, and inclusion.


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