About this role
Clinical Validation Reviewer (RN) at Molina Talent Acquisition. Location: Long Beach or United States. Role: reviewing claims, validating coding, documenting rationale Requirements: Active unrestricted RN license, minimum 2 years inpatient payment integrity/DRG or itemized bill review experience, expertise with ICD-10/MS-DRG/AP-DRG/CPT/HCPCS, familiarity with coding guidelines and clinical reference tools, strong analytic and communication skills. Category: Healthcare Services - Nursing Seniority: Entry Level Tools: ICD-10, MS-DRG, AP-DRG, APR-DRG, CPT, HCPCS, UpToDate, Merck Manual, Microsoft Office Certifications: rn, ccs, rhia, rhit, cic, cdip, cpc Commitment: Full Time Workplace: Remote Languages: English