Clinical Review Manager

Job Summary

A company is looking for a Clinical Review Manager (Remote).

Key Responsibilities

• Manage review operations related to medical necessity and DRG assignments
• Ensure timely completion of contract deliverables and review activities
• Act as a liaison for customer service issues and maintain communication with internal and external customers

Required Qualifications

• AHIMA hospital-based coding credentials required
• RHIA or RHIT Certification
• Bachelor's Degree or equivalent experience in Health Information Management, Nursing, or Healthcare Administration preferred
• 5+ years of hospital clinical coding experience required
• 3+ years of hospital utilization review experience required