Nurse Claims Analyst

Charlotte, North Carolina, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Legal Services, HealthcareIndustries

Requirements

Candidates must possess an active, unrestricted RN license in the United States, with over 3 years of experience in medical record review, claims auditing, or medical billing and coding. A minimum of 1 year of experience in itemized bill review or equivalent claims review is required, along with a strong understanding of payer policies and medical coding systems like CPT, ICD-9/10, and HCPCS. Proficiency in Excel for data analysis and excellent written communication skills for documenting rationales are essential.

Responsibilities

The Nurse Claims Analyst will conduct high-volume QA reviews of medical records to determine treatment relatedness to litigation, using clinical judgment and medical coding knowledge. They will assist in developing medical claim audit protocols, manage and analyze large datasets in Excel/Google Sheets, and document review findings clearly. Responsibilities include identifying trends, recommending process improvements, supporting knowledge sharing, adapting review approaches, and contributing subject matter expertise to reports and projects.

Skills

Clinical Judgment

Medical Coding

ICD

CPT

Excel

Google Sheets

Data Analysis

QA Reviews

Claim Auditing

Process Improvement

Zipline

Autonomous delivery of medical supplies and goods

About Zipline

Zipline focuses on logistics and delivery using autonomous technology to transport goods quickly and sustainably, primarily in the healthcare sector. The company delivers essential medical supplies, such as vaccines and medications, and has played a key role in public health initiatives like the COVID-19 vaccine rollout in Ghana. Zipline's autonomous delivery platforms allow for efficient transport of various items, addressing the equity gap in access to healthcare resources. The goal is to ensure that critical supplies are delivered wherever and whenever needed, enhancing quality control and accessibility.

South San Francisco, CaliforniaHeadquarters

2014Year Founded

$791.5MTotal Funding

SERIES_FCompany Stage

Robotics & Automation, Automotive & Transportation, HealthcareIndustries

1,001-5,000Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Paid Vacation

Paid Sick Leave

Company Equity

Performance Bonus

Risks

Increased competition from new drone delivery companies threatens market share.

Regulatory challenges in urban areas may limit growth potential.

Technological advancements by competitors could reduce Zipline's competitive edge.

Differentiation

Zipline specializes in autonomous drone delivery for vital medical supplies.

The company has a strong presence in Africa, enhancing healthcare access.

Zipline's partnerships with global health organizations boost its credibility.

Upsides

Expansion into agriculture and e-commerce diversifies revenue streams.

Partnerships with educational institutions enhance workforce development.

Investment in local infrastructure strengthens community ties and efficiency.

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