DME Focus Concept Specialist - RN in Omaha, NE

A company is looking for a Concept Development Specialist (DME Focus) - RN and / or Certified Coder. Key Responsibilities : Review and update existing audit concepts based on periodic reviews or client / regulatory changes Ensure training materials are updated and contribute to the development of new training tools Conduct research on existing concepts and document impacts, supporting Segment Specialists as needed Required Qualifications : 2-4 years of audit or Payment Integrity experience CPC, COC, RHIA, or RHIT certification and / or RN Knowledge of Medicare and commercial claims processing systems Relevant experience with ICD-10-CM / PCS, CPT-4, and HCPCS coding Demonstrated knowledge of applicable Medicare and Commercial policy and claims processes