Remote Medicare Nurse Reviewer: Claims & Compliance Job at Commence, Virginia, IL

  • Commence
  • Virginia, IL

Job Description

Commence is seeking a Nurse Reviewer to perform expert medical record reviews of Medicare Part A/B and DMEPOS claims. You will apply clinical judgment to determine payment validity in line with national and local policies, documenting clear rationales for actions. This remote role emphasizes HIPAA compliance and precise medical notation. The ideal candidate holds an RN license, an associate degree in nursing, 2–4 years of clinical experience, and familiarity with CMS coverage policies. #J-18808-Ljbffr Commence

Job Tags

Local area

Similar Jobs

Verizon

Account Manager - SMB Business Sales Job at Verizon

 ...Job Description When you join Verizon\n You want more out of a career. A place to share your ideas freely even if theyre daring...  ...excitement for technology, you'll deliver outstanding and innovative business solutions that support our technology evolution and the way... 

Centene Corporation

Operational Risk Analyst Job at Centene Corporation

Position Purpose:The Operational Risk Analyst supports the identification, assessment, and monitoring of key risks within Enterprise Business Operations Services. This role applies foundational risk management concepts, performs data analysis, and supports reporting and... 

Woodbridge Clinton

Concierge Job at Woodbridge Clinton

 ...Concierge/Receptionist Our community is looking for a Concierge to join our compassionate team of caregivers. The Concierge/Receptionist...  .... Take accurate messages and transfers calls to appropriate persons/departments. Assists in coordinating the resident's move into the... 

General Dynamics

2027 Summer Internship - Finance Job at General Dynamics

 ...Responsibilities for this Position 2027 Summer Internship - Finance US-ME-Bath Req ID: 2026-5359 Type: Intern Remaining Positions: 3 Post End Date: 11/15/2026 Category: Other Salary Grade: .. Shift: 1st Overview Part of General Dynamics... 

Mr. Appliance of Highland Park

Appliance Service/Repair Technician Job at Mr. Appliance of Highland Park

 ...Job Description Job Description Job Title: Experienced Appliance Repair Technician Location: Dallas, Richarson, Irving Texas Company:...  ...Appliance of Highland Park & Irving is a leading provider of home appliance repair services, dedicated to delivering exceptional...