Medical Reviewer - Sunnyvale California

Company: VirtualVocations
Location: Sunnyvale, California
Posted On: 11/19/2024

A company is looking for a Medical Reviewer to analyze and enhance the accuracy of medical records in legal reviews and claims processing.



Key Responsibilities:

Review and evaluate medical records for accuracy and compliance with litigation claims requirements
Perform quality reviews of model classifications on medical records and generate performance reports
Delegate tasks to contracted clinical data reviewers to ensure high-quality output


Required Qualifications:

Clinical professionals (RN, LPN, APRN/NP, EMT, PA) or non-clinical professionals with a Bachelor's degree in a relevant field
Minimum of 5 years of experience in medical record review, coding, or healthcare compliance
Strong knowledge of medical terminology and healthcare procedures
Experience with Electronic Health Record (EHR) systems
Familiarity with Natural Language Processing (NLP) and AI technologies is a plus More...

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