RN Coder (Must be a Registered Nurse)

About the Role

Join Dane Street as a RN Coder (Must be a Registered Nurse) in TELECOMMUTE, United States. We are seeking an experienced Registered Nurse (RN) with multi-state experience to perform utilization reviews, medical necessity evaluations, demand package reviews, and provide litigation support including deposition and testimony services when needed. This position is RN only.

Key Responsibilities

• Conduct comprehensive utilization reviews to determine medical necessity and level of care

• Review medical records for documentation completeness and clinical appropriateness

• Evaluate inpatient, outpatient, and procedural services for compliance with payer guidelines

• Assist with preparation and review of demand packages for legal and insurance cases

Requirements

• Conduct comprehensive utilization reviews to determine medical necessity and level of care

• Review medical records for documentation completeness and clinical appropriateness

• Evaluate inpatient, outpatient, and procedural services for compliance with payer guidelines

• Assist with preparation and review of demand packages for legal and insurance cases

Work Schedule

• Full-time position.

• No explicit call, weekend, or night shift information provided.

Apply to join Dane Street as a RN Coder (Must be a Registered Nurse).