Telecommute Clinical Quality Reviewer

Job ID: Available for Members

Location: Tennessee

Compensation: To Be Discussed

Staff Reviewed: Mon, Jul 02, 2018

Job Category: Consulting, Healthcare, Quality Assurance

Telecommute Level: Majority

Travel Requirements: Field Travel Required, Some Travel

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

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.