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Documentation Review Specialist in DME - Remote

Posted 1 week ago
All others
Full Time
USA

Overview

Tennr is seeking a detail-oriented Documentation Review Specialist to join our team, focusing on reviewing clinical documentation to ensure compliance with Medicare, Medicaid, and commercial payer policies.

In Short

  • Review model outputs to improve criteria determinations.
  • Flag incorrect determinations and provide structured feedback.
  • Compare documentation against payer coverage policies.
  • Analyze source materials to validate qualification logic.
  • Collaborate with internal teams to improve review standards.
  • Document findings and contribute to process improvements.
  • Utilize DME experience in documentation review and compliance.
  • Work independently while maintaining open communication in a remote setting.
  • Preferably have 4+ years in DME roles.
  • Familiarity with HCPCS codes and common DME categories is a plus.

Requirements

  • Hands-on DME experience in documentation review, audits, or compliance.
  • Confidence in identifying payer requirement compliance.
  • Ability to review insurance coverage policies effectively.
  • Highly organized and detail-focused.
  • Experience with audits or appeals is a strong plus.

Benefits

  • Opportunity to shape how technology supports accurate qualifications.
  • Work in a dynamic tech environment backed by top investors.
  • Flexible working hours in a remote team setting.
  • Collaborate with innovative teams on impactful projects.
Tennr logo

Tennr

Tennr is an innovative tech company based in New York City, emerging from Y-Combinator and supported by prominent investors such as Lightspeed Venture Partners and Andreessen Horowitz. The company addresses the outdated and cumbersome process of provider communication in healthcare, particularly in the context of referrals to specialists. By leveraging their advanced RaeLLM™ technology, which is trained on over 3 million documents, Tennr streamlines the reading and processing of clinical documentation, ensuring that patients receive timely and accurate referrals. Their mission is to enhance the efficiency of healthcare interactions, ultimately helping patients get the care they need faster.

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