Registered Nurse Senior Medical Reviewer in Toms River, NJ

A company is looking for a Senior Medical Reviewer. Key Responsibilities Serve as a medical record review expert, providing complex automated review support Handle escalations from fellow reviewers requiring expert-level review support Support training for new hires and QA-led trainings by the Quality Assurance Lead Qualifications 6+ years of direct medical coding or billing experience in a healthcare environment 4+ years in a productivity-based claims or case working environment 3+ years of remote work experience with various technology systems 3+ years of Medicare Fee For Service (FFS) experience in a medical coding role Experience with low-code, no-code case management systems as an end-user Education Bachelor's degree in a related field from an accredited institution Active license as a Registered Nurse in good standing in the United States