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Nurse Claims Auditor & Compliance Strategist
Job in
Tulsa, Tulsa County, Oklahoma, 74145, USA
Listed on 2026-08-28
Listing for:
CommunityCare HMO Inc.
Full Time
position Listed on 2026-08-28
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
Community Care HMO Inc. is seeking a Medical Review Examiner Nurse to audit provider and facility claims, ensuring coding accuracy and clinical appropriateness. This role collaborates with medical leaders on complex cases and supports internal teams with guidance on clinical standards.
You will maintain detailed records, analyze data trends, and participate in audits and special projects to identify opportunities for improvement in billing practices.
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