RN Clinical Reviewer

About the role

Myers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services).

Responsibilities

• Review resident medical records for accuracy, completeness and consistency with professional standards.
• Participate in remote and on-site field examinations of Medicaid providers to review clinical documentation.
• Successfully interact with providers in a professional manner, developing rapport and enhancing business relationships.
• Maintain security of and confidentiality of all Protected Health Information (PHI).

Requirements

• Bachelor’s degree in Nursing or other related health care field required (Associate’s Degree from accredited nursing school with related experience may be substituted in lieu of a bachelor’s degree).
• Must be a licensed Registered Nurse (RN).
• Minimum 3 years of long term care experience required; 5 years preferred.
• MDS experience preferred.
• Experience and knowledge of State and Federal healthcare regulations in long term care.
• Knowledge of Medicaid reimbursement and coverage policies desired.
• Proficient use of applicable software programs, including Microsoft Windows, Word, Excel.
• Strong verbal and written communication skills.
• Able to manage multiple deadlines and prioritize assignments.
• Able to work in a team environment.
• Must be able to travel based on client and business needs (up to 20% Travel).

Qualifications

• High school diploma or GED.

Skills

• Well organized with a high degree of accuracy and attention to detail.

Benefits

We offer:

• Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates.
• Vacation time, sick time, and paid holidays.
• Paid Parental Leave and available support resources.
• 401K with company matching for eligible employees.
• Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks.

Pay

Compensation is commensurate with experience.

Schedule

Hours are flexible and may vary based on client and business needs.

Myers and Stauffer LC

We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team. Our firm takes pride in the welcoming and collaborative culture we have throughout our offices. We are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.