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Remote Optum Rn Jobs in Lexington, SC (NOW HIRING)

BOTG LLC

Medical Coder Reviewer

Columbia, SC · Remote

$15.25 - $20.50/hr

... a Registered Nurse. Currently credentialed as CPC (Certified Professional Coder) or as CCS ... Optum Encoder and/or other medical coding software programs

DataAnnotation

RN

Columbia, SC · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

VIVA USA INC

Clinical Analyst & Coding Specialist

SC · On-site +1

$68.87 - $73.87/hr

... a Registered Nurse. Currently credentialed as CPC (Certified Professional Coder) or as CCS ... Fully Remote VIVA is an equal opportunity employer. All qualified applicants have an equal ...

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Remote Optum Rn information

What is the difference between Remote Optum Rn vs Remote UnitedHealth Group Rn?

AspectRemote Optum RnRemote UnitedHealth Group Rn
CredentialsRegistered Nurse (RN) license, applicable certificationsRegistered Nurse (RN) license, applicable certifications
Work EnvironmentRemote healthcare services, telehealth platformsRemote healthcare services, telehealth platforms
Employer & IndustryOptum, healthcare and health services industryUnitedHealth Group, healthcare and insurance industry

Both Remote Optum Rn and Remote UnitedHealth Group Rn roles involve providing remote nursing care within the healthcare industry. They require similar credentials and work environments, often utilizing telehealth platforms. The main difference lies in the employer and specific focus areas within the healthcare sector, with Optum focusing on health services and UnitedHealth Group encompassing broader health insurance and services.

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Looking for Clinical Analyst & Coding Specialist- W2 Only (SC Resident) - 100% Remote

Looking for Clinical Analyst & Coding Specialist- W2 Only (SC Resident) - 100% Remote

Information Resource Group, Inc.

Columbia, SC • Remote

Other

Posted 11 days ago

Job description

Below are the job details for your reference:

Title:                                    Clinical Analyst & Coding Specialist– W2

Location:                            100% Remote

Duration:                           12+ Months from projected start date   

Hrs./Wk.:                           40

Note: Candidate MUST be a SC resident. No relocation allowed.

 

Scope:

  • This resource will assist with the CPT/HCPCS and ICD-10 code maintenance. An RN is required for the medical coding reviews. However, there is actual NO “coding”, but more review of coding data received, either by CMS or for internal initiatives, research is completed and what we, as an agency, should do, results in the recommendations that are then sent to areas of the agency for review, input and, ultimately, approval.

Required Skills:

  • Must have current, active, and non-restricted licensure by the South Carolina Board of Nursing as a Registered Nurse.
  • 5+ years in healthcare insurance; medical review, program integrity, or appeals.
  • Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)
  • 5+ years working with IT developers/programmers in a payor environment.
  • 5+ years Medical Coding in payer environment
  • 3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.)
  • 5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies.
  • 5+ years knowledge of anatomy, physiology, pharmacology, and medical terminology.

Preferred Skills:

  • 5+ years’ experience in policy remediation.
  • 5+ years claims processing systems experience.
  • 5+ years Optum Encoder and/or other medical coding software programs

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