About this role
Medical Review Nurse - CMS/RAC Auditor, Government Audits at Machinify. Location: United States. Role: auditing claims, documenting findings, supporting appeals Requirements: Active unrestricted RN license required; 5+ years diversified nursing experience; 1+ year medical records review and claims experience with ICD/CPT/HCPCS coding; RAC certification preferred; ability to perform remote claims audits and document findings. Category: Healthcare Services - Nursing Seniority: Senior Level Tools: Medical Coverage Guidelines (MCG), InterQual, ICD-9, ICD-10, CPT-4, HCPCS Certifications: rn, rac Commitment: Full Time Workplace: Remote Languages: English