Clinical Reviewer

Arcadia Care; Lincoln (IL); On-site; USD 65,000 - 85,000; Full time

Job summary

Arcadia Care is seeking a Clinical Reviewer to ensure quality patient care by evaluating medical records, treatment plans, and procedures for regulatory compliance. The role requires expertise in medical terminology, healthcare protocols, and meticulous attention to detail to uphold safety and standards.

You will review records, assess care quality, ensure proper documentation, and stay current with regulations.

Qualifications

• Knowledge of medical terminology and healthcare regulations (e.g., HIPAA).
• Experience evaluating records, treatment plans, and progress notes for quality and compliance.
• Strong attention to detail and clear communication with care teams.

Responsibilities

• Review medical records for accuracy and regulatory compliance.
• Evaluate care quality and identify improvement opportunities.
• Ensure documentation of diagnoses, treatment plans, and progress notes is complete.
• Stay updated on healthcare regulations and align practices with best standards.
• Collaborate with healthcare professionals to improve care and documentation.

Skills

Medical terminology

Regulatory compliance

Attention to detail

Communication skills

Education

Bachelor’s degree in Nursing

Healthcare Administration background

Job description

Job Summary:

The Clinical Reviewer ensures quality care by evaluating medical records, treatment plans, and procedures for compliance with industry standards and regulations. This role requires expertise in medical terminology, healthcare protocols, and attention to detail to uphold high standards of patient care and safety.

Key Responsibilities:

• Review and assess medical records for accuracy and regulatory compliance.
• Evaluate the quality of care and identify areas for improvement.
• Ensure proper documentation of diagnoses, treatment plans, and progress notes.
• Stay current on healthcare regulations and ensure alignment with best practices.
• Collaborate with healthcare professionals to enhance care and documentation.

Qualifications:

• Bachelor’s degree in Nursing, Healthcare Administration, or related field (clinical background/certification preferred).
• 2+ years of clinical or healthcare administration experience.
• Knowledge of medical terminology, healthcare regulations (e.g., HIPAA), and quality assurance.
• Strong attention to detail and communication skills.