Senior Medical Record Review Associate

Job Title: Senior Medical Record Review Associate

Job #: 7812

Location: Remote, you must be 50 miles from Beaverton,OR, Phoenix & Kansas City)

Duration: 6 month contract

Top 3 Required Skills:

• Ability to supervise a team.
• Ability to identify and extract required information from various record types.
• Detail oriented with the ability to identify/document the pertinent details of the review.
• Self-motivation to take responsibility to understanding/mastering the task at hand.
  
  

The Medical Record Review (MRR) team is responsible for reviewing medical records submitted from class members and documenting the evidence in accordance with the program specific protocols. MRR then delivers customized reporting to clients to provide an overall summary of the inventory of their cases. The Senior Medical Record Review Associate possesses a demonstrated ability to master the Medical Review Analyst role exemplifying performance stronger than standards for the role and compared to their peers. Candidates for this role will have met the criteria for the Medical Record Review Associate position and further mastered the responsibilities of the role demonstrating the ability to manage additional responsibilities and qualities for advancement to this senior level position. This role is a non-managerial position whose primary focus surrounds higher level responsibilities than the Medical Record Review Associate to include comprehensive review of various types of medical review projects, performing quality assurance of work completed by the Medical Record Review Associate and managing escalations. Additional specialized tasks are assigned to this role to support the business unit in the overall delivery of a quality work product in a timely manner.

Job Functions:

• Assist with development and execution plan to most effectively and efficiently process medical record reviews for each program
• Assist with updating lists of discrepancies identified in audit results
• Perform quality assurance of cases completed by Medical Review Analyst with delivery of results to each team member as directed by the Medical Review Supervisor
• Conduct research for new litigations to assist with development of training materials
• Serve as an escalation resource for team members and assist with answering nurse line questions
• Draft weekly reporting to submit to Medical Review Supervisor to reflect production metrics
• Perform medical record reviews for assigned projects
  
  

Requirements:

• RN, LPN, Paralegal
• Nursing or Paralegal Licensure or higher
• 2-5 years' experience of extensive review of medical records.
• May also possess experience with mass tort, personal injury, disability, worker's compensation and hedis reviews.
• Successful with strong performance in the Medical Review Analyst role for 2 years consistently meeting or exceeding performance standards for projects assigned.
• Subject Matter Expert demonstrating ability to exceed expectations relative to peers performing the same tasks.
• External candidates must possess experience with either of following: medical record review, mass tort, personal injury, disability, worker's compensation, HEDIS reviews or 2 years of equivalent experience. Completion of the following Linked in Learning trainings: Being a good Mentee, Giving and Receiving Feedback, how to be promotable, Developing a Service Mindset
  
  

Skills & Abilities:

• Excellent communication skills(verbal /written), adaptable to constantly changing environment. Effective problem-solving and analytical skills. Ability to work collaboratively and independently to meet critical deadlines.
  
  

Pre-Employment Requirement

All employment offers are contingent upon successful completion of our pre-employment screening that may include drug testing, background/criminal check, and if applicable, must meet eligibility requirements for access to classified information.

APR Staffing is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.

About APR Staffing

APR Staffing was born from the merger of two well-respected technical staffing firms in Portland. ieSolutions, founded in 2002, enjoyed an impressive reputation as one of the largest locally-owned and most respected technical staffing companies. Professional Resource Group, aka Data Resource Group, founded in 2009, also earned regional acclaim for being a fast-growing and highly-motivated professional staffing agency. Both companies have been recent award winners for the Portland Business Journal's Fastest-Growing Private Companies. The two firms, now as APR Staffing, make for one of the fastest-growing and most-respected professional and technical staffing companies in Oregon and Southwest Washington.

Collaborating with our customers, we augment their workforce with technical and administrative professionals. We provide only high-caliber, professional-grade resources throughout the Pacific Northwest.