Remote Healthcare administration Jobs · Registered Nurse

• Review patient medical records to improve the quality and completeness of clinical documentation.
• Collaborate with providers, coders, and care team to ensure accurate documentation reflecting severity of illness.
• Develop and deliver clinical documentation improvement education and guidance to providers.

Our partner is a healthcare organization seeking a Clinical Documentation Specialist. They offer remote work with flexible scheduling and are dedicated to improving patient care through accurate documentation.

• Review medically complex claims, pre-authorization requests, appeals, and fraud and abuse referrals.
• Assess payment determinations using clinical information and established guidelines.
• Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.

Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, we empower clients with tailored solutions, operating with integrity and collaboration.

• Directly manage a team of registered nurses and clinical staff, overseeing hiring, coaching, and performance management.
• Own scheduling, coverage, and workflow management to ensure smooth clinic operations.
• Serve as the operational owner of Carrot's EMR, including configuration and clinical content.

Carrot is a global fertility and family care platform that provides clinical guidance and support to members worldwide. The company serves over a thousand multinational clients and millions of members across 195 countries, and is recognized for its innovative workplace culture and awards.