Job Summary
A healthcare solutions company is seeking a Telecommute Clinical Quality Reviewer.
Candidates will be responsible for the following:
- Performing Quality Assurance checks on final review work during and after the orientation period
- Coordinating with, and assisting, Project Managers in performing ongoing quality checks for all Nurse Reviewers
- Facilitating the Physician quality control process
Skills and Requirements Include:
- Travel at least 10% of the time
- Demonstrated proficiency in medical record analysis and ICD-9-CM and CPT coding methodology
- Advanced knowledge of medical codes, coding conventions and rules
- Demonstrated experience in medical review, chart audits and quality improvement processes
- Demonstrated experience with coding systems and working knowledge of HIPAA privacy and Security rules
- Ability to work proficiently with Microsoft Word, Excel and Power Point.
