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Field-Based Nurse Chart Reviewer
Paterson, NJ
MedAssurant is now recruiting RN(s) as good as LPN(s) to perform healing jot down reviews. MedAssurant offers rarely rival hourly remuneration as good as payment for mileage traveled. MedAssurant reviewers have been supposing with a laptop as good as full condensation as good as record training. Both part-time as good as full-time positions have been available.
Responsibilities:
- Perform reviews (and/or peculiarity over-reads of such reviews) of caring providers, sites, facilities, healing records, as good as alternative compared medical-field materials, personnel, as good as papers as summarized by a Company possibly onsite or during remote locations as directed towards by a Company. Such reviews might embody (amongst others):
- Care Provider Site Reviews;
- Chart Keeping Standards Reviews;
- HEDIS Hybrid Chart Abstractions;
- Medicare Risk Adjustment;
- Custom QI Reviews; and//or
- Care Provider Site and/or Care Provider Monitoring Reviews.
- Be accessible to perform reviews for Company for a sum time of not reduction than a concluded upon weekly commitment. Such time accessibility shall be conveyed to a Company by a operate of a Company’s Internet portal interface (when available, and, if not available, by vehicle to Employee’s Designated Supervisor). The nomination of such time accessibility contingency be supposing by Employee 3 or some-more weeks in advance. Upon nomination of time availability, Employee contingency sojourn accessible during such directed towards time accessibility so which scheduling might dependably be executed as good as upheld;
- Communicate upon a every day basement with directed towards Review Coordinators as good as yield feed-back as good as updates regarding to any as good as all reviews;
- Attend all precision as good as Company veteran growth meetings;
- Maintain correct annals of transport time as good as distances compared with reviews achieved upon interest of a Company;
- Maintain a top turn of professionalism in a communications as good as interactions with clients of a Company as good as staff during sites where reviews have been performed;
- Undergo quality, accuracy, as good as inter-rater trustworthiness contrast as good as belong to Company policies of such;
- Assist with a examination as good as upkeep of policies, procedures, as good as precision materials which simulate present NCQA, JCAHO, URAC, as good as associated regulatory policies in so distant as they describe to MedAssurant’s sustenance of examination services;
- Assist in a coordination of information exchnage processes with MedAssurant’s administrative, NJnagement, as good as margin staff as good as alternative affiliates, vital partners, as good as alternative outmost people as good as organizations; and
- Maintain correspondence with MedAssurant’s policies, procedures as good as goal statement;
- Adhere to all confidentiality as good as HIPAA mandate as summarized inside of MedAssurant’s Operating Policies as good as Procedures in all ways as good as during all times with apply oneself to any aspect of a interpretation rubbed or services rendered in a endeavour of a position; and
- Fulfill those responsibilities and/or duties which might be pretty supposing by MedAssurant for a role of achieving operational as good as monetary success of a Company.
Job Requirements:
- Registered Nurses (RN) as good as Licensed Practical Nurse (LPN);
- Clinical experience; cite knowledge in behaving draft reviews;
- Ability to conduct as good as encounter deadlines;
- Computer literate;
- Detail oriented;
- Professionally learned in created as good as created communication;
- Available to perform reviews no reduction than twenty-four hours a week;
- Must be peaceful to transport (mileage is reimbursed); and
- Must have tall speed internet access.
MedAssurant, Inc. is a heading provider of national healing interpretation abstraction, analysis, as good as corroboration solutions for a U.S. healthcare industry. MedAssurant delivers forlorn as good as indeed end-to-end solutions to residence counts of peculiarity of care, price alleviation as good as containment, risk adjustment, clinical outcomes analysis, as good as healthcare interpretation verification.
We Offer:
- Competitive pay
- Mileage reimbursement
- Paid training