State Licensed Medical Review Manager

Job Summary

A company is looking for a Medical Review Manager for Clinical Chart Validation.

Key Responsibilities

• Oversee the CCV review process and apply regulations and client policy
• Educate and direct personnel on review guidelines and concept logic
• Coordinate activities of all stakeholders involved in the CCV Review

Required Qualifications

• Bachelor's degree in Nursing or equivalent combination of education and experience
• AHIMA / AAPC coding certification (CPC, CPC-H, or CCS) required
• Current Registered Nurse (RN) license in the United States or U.S. Territory
• Minimum of 5 years of experience in auditing medical records
• Minimum of 8 years of related experience in healthcare settings