MedReview Inc., a physician-led payment integrity company, specializes in thorough claim reviews and audits to ensure accurate billing. Leveraging advanced algorithms enriched by machine learning and clinical data, MedReview offers comprehensive services including DRG validations, hospital bill audits, and quality management, resulting in significant savings for clients while maintaining the lowest appeal overturn rate in the industry.
Open Positions
MedReview
MD/DO degree required, 5+ years clinical experience in DRG or related fields. US medical license needed and must be located within a US state.
MedReview
High School Diploma or Equivalent, 5+ years related work experience, Microsoft Office skills
MedReview
5+ years of experience in technical areas such as Storage Area Network support, VMware support, Server maintenance, System upgrades and procurement, Infrastructure design and layout, Disaster Recovery design and implementation, OS installation, maintenance and patching, management of system tools and applications, Active Directory services
MedReview
Coding certification required. 3+ years clinical experience with DRG/APR-DRG validation. College-level medical/coding courses are a must
MedReview
Master's in Social Work & LCSW license, 2+ years experience in social work, and experience in home care are required. Detail-oriented with strong communication skills are also essential
MedReview
Minimum 2 years' experience in inpatient coding, utilization management, and/or clinical validation; minimum 3 years' clinical experience in a hospital setting; active, unrestricted RN license
MedReview
Associates degree, 3+ years of experience in healthcare, experience in inpatient claims, and good MS Office skills required
MedReview
2 years of experience in nursing, RN licensed in New York State, knowledge of state regulations governing home care services
MedReview
High school diploma or equivalent, 2 years' experience in healthcare, and proficiency in MS Excel
MedReview
4+ years in healthcare PM, 2+ in healthcare audit. HITRUST/HIPAA knowledge required. MS Project/Excel proficiency
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