Medical Review Support Analyst

Job Summary

A company is looking for a Medical Review Support Analyst to support clinical review and audit processes within a healthcare operations environment.

Key Responsibilities

• Perform initial triage on claims selected for review to determine eligibility for clinical audit
• Request, receive, and manage medical records from providers through various channels
• Maintain accurate records by updating department databases and documenting activities

Required Qualifications

• High school diploma or GED required, with 3+ years of experience in a healthcare environment
• Experience working with healthcare documentation including medical records and claims data
• Proficiency with medical terminology; familiarity with anatomy and coding concepts preferred
• Strong analytical and organizational skills with the ability to prioritize work and meet deadlines