Med Rec Content Review-Adv

Harrisburg, PA 17105

Posted: 08/17/2023 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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