Medicare Medical Review Specialist - Part-Time RN

Empower AI is seeking a Medical Review Specialist V to review and analyze Medicare claims. The role requires a Registered Nurse with at least 10 years of clinical experience and minimum seven years of claims knowledge. This is a part-time position focused on ensuring compliance with Medicare and DOJ guidelines, making payment determinations based on coverage and coding principles. Ideal candidates will possess strong communication skills and a background in medical review or fraud investigation. #J-18808-Ljbffr