Med Rec Content Review-Adv

Harrisburg, PA 17105

Posted: 11/21/2023 Category: Health Care Job Number: 124492

Job Description


A-Line Staffing is now hiring Medical Records Reviewer in Harrisburg PA

This would be full time / 40+ hours per week.

If you are interested in this Medical Reviewer position, please contact Robin Thomas at 586-232-9016 or Rthomas@alinestaffing.com

Medical Reviewer Compensation
  • The pay for this position is 20 per hour
  • Benefits are available to full-time employees after 90 days of employment
  • A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Medical Reviewer Highlights
  • This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
  • The required availability for this position is 8a – 4pm (30 min lunch) Both in office and remote

Medical Reviewer Responsibilities

 

· Identifies discrepancies through the analysis of paid claims, itemized bills, and computer reports through the Fraud Abuse Detection System which is known as FADS.

· This includes but is not limited to analysis of paid claims for patterns identified with high-cost, high-volume providers, and potential cases for review.

· Selects, reviews, analyzes and evaluates cases retrospectively to monitor compliance with State and Federal Regulations.

· Services are monitored for medical necessity and quality of care.

· Verifying that services ordered were rendered, and all rendered services were ordered and are appropriate

Medical Reviewer Requirements

· Experience dealing with Medical Records

· Associate Degree in Health Care

· Microsoft Office

· High School Diploma.

If you think this position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!

Robin Thomas 586-232-9016 Rhtomas@alinestaffing.com
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About Harrisburg, PA

Discover exciting job opportunities in the vibrant Harrisburg, Pennsylvania area today! Situated along the scenic Susquehanna River, Harrisburg offers a perfect blend of historical charm, modern amenities, and endless opportunities for career growth. Immerse yourself in the rich culture of the State Museum of Pennsylvania, enjoy performances at the Whitaker Center for Science and the Arts, or cheer on the Harrisburg Senators at FNB Field. Indulge in local cuisine, stroll through picturesque Riverfront Park, or explore nearby Hershey, known as the "Sweetest Place on Earth." Join us in Harrisburg, where a fulfilling career and a fulfilling life await you. Explore our job listings now!