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Clinical Reviewer/ Auditor
| Estimated Pay | $41 per hour |
|---|---|
| Hours | Full-time, Part-time |
| Location | Rockville, Maryland |
Compare Pay
Estimated Pay$31.86
$41.23
$57.4
About this job
Job Description
JOB NUMBER: 1530 | LOCATION: Remote CLEARANCE/ACCESS LEVEL: NACI
This position is with our subsidiary Avar Consulting Inc., and AMDEX Company
Avar The Art of Data Science
We are a seasoned Full-spectrum data solutions firm. We deliver insights, strategies, data analytics, and technical expertise to accelerate data modernization. We specialize in data sciences and cloud solutions, application development and maintenance, program management, and health IT operations leveraging experience and trusted talent to solve the federal government’s most pressing business and technical challenges. Without you, it’s just data.
Primary Duties:
- Performs desktop medical review and audit functions. Abstract review related data/information accurately and timely in appropriate review tools. Communicates with and supports physician reviewers in summarizing facts of cases and issues requiring physician input. Conducts all mandatory case review and quality assurance activities as stipulated by contract(s) and maintains required timeliness and accuracy within the review process while maintaining production goals.
- Actively cross-trains to perform duties of other contracts within the Avar network to provide a flexible workforce to meet client/consumer needs.
- Candidate may be required to work additional hours as required by contract, work volume, and as directed by project director.
Essential Experience and Education:
Graduation from an accredited school of nursing and current licensure as a Registered Nurse (RN). Individuals with a degree in a healthcare-related field who possess professional clinical backgrounds with Medicare QIO experience in performing medical reviews in support of discharge appeals, claims reviews, and utilization reviews may also qualify. Minimum of 2-4 years of experience in clinical decision making, relative to Medicare patients.
Essential Skills:
Must have strong computer keyboarding skills. Ability to organize and coordinate multiple simultaneous tasks in a team environment. Ability to exercise sound judgment.
Avar Consulting is a subsidiary of AMDEX Corporation and offers a competitive salary package and attractive benefits package.
- Medical | Dental | Vision (Base plan employee premiums 100% company paid)
- Employer Paid Life and Disability Insurance, STD and LTD
- Employee Assistance Plan and Employee Discounts
- 11 Federal Holidays | PTO accrual with carryover
- 401(k) Plan with company match | Flexible Spending Accounts: Medical, Dependent, Transit
- Tuition Reimbursement & Training Assistance
Visit our Careers website at www.amdexcorp.com/amdex-ai-jobs/ .
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