As a casual Medical Review Specialist III, you will primarily perform Medicare comprehensive medical record and claims review to make payment determinations for Medicare claims. You will serve as a critical component in meeting our mission of providing excellent services to our clients, ensuring an exciting and rewarding opportunity to be at the forefront of activities related to implementing healthcare reform on a national level.
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USD/year
Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements.