Ohio Licensed SIU RN Investigator
Company: VirtualVocations
Location: Springfield
Posted on: March 29, 2025
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Job Description:
A company is looking for an Investigator, SIU RN.
Key Responsibilities
Perform medical record audits to verify service documentation and
coding accuracy
Conduct interviews with providers and health plan members to
investigate potential fraud, waste, or abuse
Generate detailed audit reports and provide education on
appropriate coding practices
Required Qualifications
Graduate from an Accredited School of Nursing
Five years of clinical nursing experience with broad clinical
knowledge
Five years of experience in medical review and coding/billing
audits
Active, unrestricted State Registered Nursing (RN) license in good
standing
Knowledge of medical terminology and coding requirements (CPT,
ICD-9, HCPCS, DRG)
Keywords: VirtualVocations, Springfield , Ohio Licensed SIU RN Investigator, Accounting, Auditing , Springfield, Ohio
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