Senior Medical Record Review Associate
The Medical Record Review (MRR) team is responsible for reviewing medical records submitted from class members and documenting the evidence in accordance with the program specific protocols. MRR then delivers customized reporting to clients to provide an overall summary of the inventory of their cases. The Senior Medical Record Review Associate possesses a demonstrated ability to master the Medical Review Analyst role exemplifying performance stronger than standards for the role and compared to their peers. Candidates for this role will have met the criteria for the Medical Record Review Associate position and further mastered the responsibilities of the role demonstrating the ability to manage additional responsibilities and qualities for advancement to this senior level position. This role is a non-managerial position whose primary focus surrounds higher level responsibilities than the Medical Record Review Associate to include comprehensive review of various types of medical review projects, performing quality assurance of work completed by the Medical Record Review Associate and managing escalations. Additional specialized tasks are assigned to this role to support the business unit in the overall delivery of a quality work product in a timely manner.
This is a remote position, candidates must reside 50 miles within Beaverton, OR, Phoenix, AZ, or Kansas City, KS.
Senior Medical Record Review Associate Responsibilities
• Assist with development and execution plan to most effectively and efficiently process medical record reviews for each program.
• Assist with updating lists of discrepancies identified in audit results.
• Perform quality assurance of cases completed by Medical Review Analyst with delivery of results to each team member as directed by the Medical Review Supervisor.
• Conduct research for new litigations to assist with development of training materials.
• Serve as an escalation resource for team members and assist with answering nurse line questions.
• Draft weekly reporting to submit to Medical Review Supervisor to reflect production metrics.
• Perform medical record reviews for assigned projects.
Senior Medical Record Review Associate Qualifications
• RN, LPN, Paralegal.
• Nursing or Paralegal Licensure or higher.
• 2-5 years' experience of extensive review of medical records.
• May also possess experience with mass tort, personal injury, disability, worker's compensation and hedis reviews.
• Successful with strong performance in the Medical Review Analyst role for 2 years consistently meeting or exceeding performance standards for projects assigned.
• Subject Matter Expert demonstrating ability to exceed expectations relative to peers performing the same tasks.
• External candidates must possess experience with either of following: medical record review, mass tort, personal injury, disability, worker's. compensation, HEDIS reviews or 2 years of equivalent experience. Completion of the following Linked in Learning trainings: Being a good Mentee, Giving and Receiving Feedback, how to be promotable, Developing a Service Mindset.
• Excellent communication skills(verbal /written), adaptable to constantly changing environment. Effective problem-solving and analytical skills. Ability to work collaboratively and independently to meet critical deadlines.
Salary: Up to $33/hr. (DOE)
VanderHouwen Contractors Enjoy Exceptional Benefit Perks!
As an eligible contract employee with VanderHouwen, you'll have access to a full suite of benefits designed with your well-being in mind. Our comprehensive package includes medical, dental, vision, life insurance, short- and long-term disability, and a matching 401(k) to help secure your future.
Meet VanderHouwen
What kind of recruiter do you see yourself working with? One who prioritizes your best interest, no matter what? VanderHouwen does, and we're in it for the long game! Our recruiters focus on YOU, building meaningful, long-term relationships while developing a deep understanding of companies' staffing needs and workplace cultures. This approach helps us find an ideal job match that aligns with your unique career aspirations and goals.
VanderHouwen is an award-winning, Women & Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!
VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.
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