Job Description

Job Summary:

We are looking for a dedicated and detail-oriented Medical Record Reviewer to join our team in this remote role. In this position, you will be responsible for reviewing medical records to identify pre-existing conditions or diagnoses, which helps ensure the timely processing of healthcare claims. This is a production-based role with flexible working hours, where you will have the autonomy to manage your schedule. However, meeting a set production goal is expected, and candidates must provide their own equipment, including a PC or laptop, internet connection, and a private workspace. A background as a registered nurse is required, with a preference for candidates holding a bachelor's degree.

Key Responsibilities:

Perform thorough reviews of medical records to identify pre-existing conditions or diagnoses.
Assess records accurately and in a timely manner to support the healthcare claims process.
Document findings with precision and maintain detailed records of reviewed files.
Efficiently manage a high volume of reviews to meet production goals (minimum of 4 files per hour).
Utilize company systems and software for managing records and generating reports.
Collaborate with internal teams to ensure smooth workflow and resolve any issues promptly.
Qualifications:

Current Licensed Practical Nurse (LPN) license is required; a Bachelor's degree in nursing or a related field is preferred.
Previous experience in medical record review or a similar healthcare role is highly valued.
Strong attention to detail and exceptional analytical skills.
Ability to meet and exceed production goals in a fast-paced, high-volume environment.
Proficiency in using computer systems and software applications.
Must have your own equipment: PC or laptop, reliable internet connection, and a private workspace.
Employment Type: Contractor
Salary: $ 36.00 44.00 Per Hour

Job Tags

Hourly pay, Contract work, For contractors, Flexible hours,

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