Note: The job is a remote job and is open to candidates in USA. Myers & Stauffer is a certified public accounting and health and human services consulting firm specializing in government-sponsored health care programs. The RN Clinical Reviewer will review medical records and clinical documentation for Medicaid providers, participate in field examinations, maintain Protected Health Information confidentiality, and build professional provider relationships.
Responsibilities
- Review resident medical records for accuracy, completeness and consistency with professional standards
- Participate in remote and on-site field examinations of Medicaid providers to review clinical documentation
- Successfully interact with providers in a professional manner, developing rapport and enhancing business relationships
- Maintain security of and confidentiality of all Protected Health Information (PHI)
- Additional responsibilities as assigned
Skills
- Bachelor's degree in Nursing or other related health care field required (Associate's Degree from accredited nursing school with related experience may be substituted in lieu of a bachelor's degree)
- Must be a licensed Registered Nurse (RN)
- Minimum 3 years of long term care experience required
- Experience and knowledge of State and Federal healthcare regulations in long term care
- Proficient use of applicable software programs, including Microsoft Windows, Word, Excel
- Strong verbal and written communication skills
- Ability to manage multiple deadlines and prioritize assignments
- Ability to work in a team environment
- Well organized with a high degree of accuracy and attention to detail
- Must be able to travel based on client and business needs (up to 20% Travel)
- High school diploma or GED
- 5 years preferred
- MDS experience preferred
- Knowledge of Medicaid reimbursement and coverage policies desired
Benefits
- Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates
- Vacation time, sick time, and paid holidays
- Paid Parental Leave and available support resources
- 401K with company matching for eligible employees
- Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks
- A combination of technical and leadership development training at each career milestone
- Up to six counseling sessions per year for eligible employees through our Employee Assistance Program
- Remote work
- Flexibility to better suit an employee’s work-life wellbeing
Company Overview