Clinical Review Specialist - Remote

Overview

The Clinical Review Specialist assesses the medical necessity and appropriateness of healthcare services provided to patients, ensuring compliance with established guidelines and standards.

In Short

• Review medical records and treatment plans.
• Participate in quality improvement initiatives.
• Assess documentation accuracy and completeness.
• Provide education on quality and documentation standards.
• Collaborate with clinicians to improve clinical processes.
• Utilize analytical skills for patient population documentation.
• Work in a remote capacity with a regular schedule.
• Engage in continuous professional development.
• Support patient care and community service initiatives.
• Join a team committed to groundbreaking medical discoveries.

Requirements

• Bachelor's Degree in Nursing or related field preferred.
• 3-5 years of experience in Clinical Documentation Improvement.
• 2-3 years of experience with chart reviews in electronic medical records.
• Experience in quality improvement and education material presentation.
• Strong analytical skills.
• Ability to work independently and as part of a team.
• Knowledge of healthcare standards and regulations.
• Excellent communication skills.
• Commitment to patient care excellence.
• Willingness to engage in ongoing training and development.

Benefits

• Competitive base pay.
• Comprehensive benefits package.
• Career advancement opportunities.
• Recognition programs for contributions.
• Support for professional growth.
• Flexible working environment.
• Engagement in community service.
• Opportunities for continuing education.
• Work-life balance support.
• Inclusive and diverse workplace culture.