The UR Specialist reviews and monitors patients’ utilization of health care services with the goal of maintaining high... quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the...
(DNB) Reports, and Claim Edits. Coding of highly complex medical records as well as medical record review. This class... differs from the intermediate Coding Reimbursement Specialist in that addressing reviews and focused auditing when...