RN or LPN chart reviewer- Remote

02 July 2013 Categories: Archived Job Listings Tags: , ,


Location: Work At Home

RN or LPN chart reviewer-Remote

Responsible for conducting clinical chart reviews on Prospective HCC charts for the purposes of identifying and submitting accurate HCC/​RxHCCdiagnosis for members.​Ensure accurate coding using Official Coding guidelines.​ Identify opportunities for improvement in documentation.​

Responsibilities:

  • Responsible for conducting clinical chart reviews for the purposes of identifying and submitting accurate documented diagnoses for members.​
  • Records findings in database completely and accurately in accordance with standard policies and procedures.​
  • May be required to identify, collect, and compile HEDIS results data for quality initiatives.​
  • Provide feedback to client to assist in improvement of provider documentation.​

Qualifications:

  • Current RN or LPN license required
  • Medical coding certificate a plus
  • 3-5 years previous experience including medical record documentation review and coding experience required
  • In depth knowledge of Official Coding guidelines and Medicare Risk Advantage process
  • Strong analytical and problem solving skills
  • Self-motivated and ability to work independently in a remote environment

RN or LPN chart reviewer-Remote

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2 Responses to “RN or LPN chart reviewer- Remote”

  1. Michele Taylor 11 July 2013 at 11:57 am (PERMALINK)

    I have searched At Home Utilization Reviewer positions for RN and I have not been successful et I have heard of nurses who are presently performing the job. Please help me I am desperate for a job as I lost my job as Administrator because closed our office without notice and I have to daughters depending on me for support. I have been a nurse in various settings and having been in solved in this aspect I know I have much experience to bring to the position.
    Thank you
    Michele Taylor

    • lou-charrier 15 July 2013 at 5:40 pm (PERMALINK)

      Thank you Michele:

      THIS EXTERNAL POSITION HAS BEEN FILLED

      Yes Michele, we frequently find jobs in this category: you might want to receive updates by signing-up to our newsletter.

      All the best ;-)

      Author