Certified Medical Review Specialist
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Job Summary
To support a growing healthcare team, the temporary remote Certified Medical Review Specialist will create and write reports based on medical records, analyze provider billing for compliance, and ensure high-quality reviews while working Monday to Friday, 8:30 AM to 5:00 PM.
Key responsibilities
- Enter and verify claim/examinee data in the system database
- Review claims for completeness and resolve any missing or inconsistent information
- Apply coding and billing guidelines, making manual adjustments as necessary
Required qualifications
- Current certification (OASIS, RAC-CT, or CCS)
- Strong understanding of medical billing and coding concepts, including CPT and ICD-10
- Proficiency with Microsoft Office, especially Excel
- Detail-oriented with the ability to work independently and maintain confidentiality
- Typing speed of at least 35 WPM
Complete Job Description
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