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Nurse (Baton Rouge, La)

Company

Gainwell Technologies LLC

Address , Baton Rouge, 70809, La
Employment type FULL_TIME
Salary $26 - $34 an hour
Expires 2023-10-04
Posted at 8 months ago
Job Description

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.


Summary

The Nurse in this position reviews claims using medical records and system reports to determine proper documentation, utilization, and appropriateness of medical services to identify possible fraud, waste, or abuse.

Your role in our mission

  • Utilizes a data mining tool to review medical records for correct coding and billing.
  • Research policy and standards to use for judgements of fraud and abuse determinations.
  • Provides process improvement suggestions to management to ensure maximum efficiency and effectiveness of company products and solutions.
  • Prepares reports to demonstrate findings in medical records and systesystem-generatedrts.
  • Performs post-payment analysis of medical claims and records.

What we're looking for

  • Nursing license (RN) or (LPN/LVN) is required
  • Active credentials as a Medical Coder preferred
  • Must be proficient in Microsoft Excel and Windows-based computer operation.

What you should expect in this role

  • This position is based in our Baton Rouge, Louisiana office and requires working from this location.
  • Full-time (40 hours per week) working Monday through Friday (Day Shift)
  • Benefits start on the first day of employment.
  • New graduates welcome!
  • Paid Initial and ongoing training.
    • New graduates welcome!


#LI-NB1

#LI-ONSITE

#LI-CM1


The pay range for this position is $26.00 - $34.00 per hour, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.


We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.


Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.