Medical Review Coordinator (SUR)

Step Up Rehab, LLC; Orlando (FL); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health insurance

401(k) with company match

Paid time off 21 days

CEU reimbursement

Travel stipend

Flexible scheduling

Job summary

Step Up Rehab, LLC seeks a Medical Review Coordinator to assemble ADR/Appeal documentation, coordinate with Clinical Appeals and Quality Improvement, and liaise with facility staff for payer requests.

You will manage MS Office tasks, track outcomes, and support a collaborative team across Florida facilities. The role requires travel quarterly and a professional, detail-oriented approach to regulatory requirements.

Qualifications

• No specific degree required; understanding medical documentation preferred.
• Proficiency in time management, organizational skills and computer skills.
• Thorough understanding of ADR packets, payer guidelines and requirements.
• Experience with Microsoft Office, especially Excel; EMR familiarity helpful.
• Willingness to travel quarterly for training or meetings.
• Excellent time management, organizational skills, professional appearance.

Responsibilities

• Pull necessary documents from Net Health, PCC and facility records for ADR/Appeal packets.
• Coordinate with Clinical Appeals and QA Manager to obtain documentation from facility staff.
• Attend weekly virtual meetings with the medical review team and collaborate with stakeholders.
• Work an eight-hour day with unpaid lunch; sustain activity for up to four hours at a time.
• Perform other duties as assigned.

Skills

Time management

Organizational skills

Microsoft Excel

Documentation

Travel readiness

Tools

Net Health

PCC

Job description

Join Our Team at Step Up Rehab!

Are you ready to make a meaningful difference in the lives of others? Step Up Rehab is seeking passionate individuals to join our dynamic team! At various skilled nursing facilities across Florida, you’ll provide exceptional rehabilitative care in a supportive and collaborative environment. We prioritize your professional growth and offer a nurturing workplace where your skills and dedication can truly impact the lives of our residents.

Why Choose Step Up Rehab?

• State-of-the-Art Facilities: Work in modern gyms equipped with the latest technology to enhance patient recovery
• Competitive Pay: We offer highly competitive salaries to recognize your skills and dedication
• Employee Appreciation: Participate in monthly events that celebrate your hard work and dedication
• Flexible Scheduling: We understand the importance of work-life balance and offer flexible hours to fit your lifestyle
• Comprehensive Benefits: Enjoy health, dental, and vision insurance options, including family plans- Step Up Rehab now proudly offers medical benefits through Blue Cross/Blue Shield!
• Retirement Security: Secure your future with our 401(k) plans, featuring a generous company discretionary 3% match
• Generous Paid Time Off: Benefit from a minimum of 21 days of paid time off to recharge and relax
• Referral Program: Earn $1000 for successfully referring qualified candidates to our team
• CEU Reimbursement: We support your ongoing education and professional development with reimbursement for continuing education units, available to full-time employees after 6 months of employment
• Comfortable Staff Ratios: Work in an environment where you can provide quality care without feeling overwhelmed
• Supportive Culture: Collaborate with a caring staff and management team committed to your success
• Travel Stipend: We offer a travel stipend to assist with work-related travel expenses

Job Summary

This position is responsible for preparing documentation for (Additional Documentation Requests) ADRs and Appeals. The Medical Review Coordinator will pull all necessary documents to compose a thorough, well-organized and timely packet. It is incumbent upon the Medical Review Coordinator to promote a positive working environment and to serve as a role model in the area of professional behavior. The Medical Review Coordinator assumes responsibility for nonclinical input required in the ADR process. The Medical Review Coordinator collaborates with the Clinical Appeals and Quality Improvement Manager, functions as a liaison with facility staff and corporate consultants in an effort to compile necessary documents as requested by payers.

Responsible To

The Medical Review Coordinator reports directly to Clinical Appeals and Quality Improvement Manager and must also take direction from the Corporate Director of Clinical Quality and Compliance and work effectively with facility management and all other consultants.

General Qualifications

• The Medical Review Coordinator is not required to possess any certain degree, credential or designation although an understanding medical documentation is preferred.
• Proficiency in time management, organizational skills and computer skills are required.
• The Medical Review Coordinator must possess a thorough understanding of required components in ADR packet, payer guidelines and requirements.
• They should have experience with Microsoft Office products, specifically Excel. A basic understanding of Electronic Medical Records (EMR) would be helpful.
• Must be able to travel quarterly as requested for training or team meetings.
• Excellent time management and organizational skills are a must.
• Professional attitude and appearance.

Job Description

• Adheres to all company and facility policies and procedures (please refer to your Employee Handbook).
• Pulls all necessary documents from Net Health, PCC and Facility medical record according to policy to compose ADR or Appeal packet.
• In conjunction with Clinical Appeals and Quality Improvement Manager, communicates with facility staff to obtain necessary documentation for ADRs and Appeals.
• Attends weekly virtual meeting with medical review team and closely collaborates with the Clinical Appeals and Quality Improvement Manager throughout week as needed.
• This position requires that the Medical Review Coordinator is able to work an eight-hour day with an unpaid lunch break. S/he must be able to participate in sustained activity for up to four hours at a time.
• Other duties as assigned.

Hours of Work

• Full-time, salaried position. The Medical Review Coordinator is a salaried employee and therefore not eligible for overtime.

Standard business hours Monday through Friday, flexibility based on workload and departmental needs