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Ambulatory Review Specialist

Albany, New York, United States

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Salary: Salary not specified | Full time

Ambulatory Review Specialist
Linium is currently recruiting for a Direct Hire Ambulatory Review Specialist for our client in Albany, NY! We are seeking an individual who is an RN/LPN with a valid NYS license and a CPC (Certified Professional Coder)!
Responsibilities include:
• Auditing of health care providers to include data retrieval, coding analysis, monitoring standards of compliance and reporting findings
• Pre and post payment review of complex healthcare cases to evaluate the medical necessity, appropriateness and quality of care
• Educate providers on issues and areas for improvement based on findings
• Additional related tasks
Requirements include:
• RN/LPN with a valid NYS license
• CPC (Certified Professional Coder)
• Minimum 1 year clinical experience
• Minimum 2 years quality/utilization review experience in an HMO, managed care organization, or similar as a hospital inpatient coder or auditor

To apply for these positions, please send your resume to Erin Gordon, Resource Manager:
• Email: erin.gordon@linium.com
• Fax: 518-689-4882

Apply now