Medical Reviewer
Company: VirtualVocations
Location: Sunnyvale
Posted on: November 7, 2024
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Job Description:
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
Keywords: VirtualVocations, Fremont , Medical Reviewer, Healthcare , Sunnyvale, California
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