OT Clinical Reviewer: Medical Records & Compliance

Acentra Health, LLC; Arkansas; On-site; USD 39,000 - 52,000; Full time

Job summary

Acentra Health, LLC is seeking a Clinical Reviewer to join our team in Arkansas. You will review medical records to determine medical necessity and appropriateness of care, and coordinate referrals as needed.

The role demands strong critical thinking, solid documentation, and strict HIPAA adherence. Ideal candidates hold an OT license in Arkansas with 2+ years of OT experience and 1+ year supporting individuals with developmental disabilities.

Qualifications

• Master’s or higher-level degree in OT.
• Current, active Arkansas OT license.
• 2+ years of OT clinical experience.
• 1+ years supporting individuals with developmental disabilities.
• Must reside in Arkansas.

Responsibilities

• Review patient records to determine medical necessity and appropriateness of care.
• Determine approval or refer to consulting physician, documenting denial reasons.
• Abstract review-related data accurately and timely.
• Maintain HIPAA confidentiality and contract compliance.
• Cross-train to support contract needs.

Education

Master’s or higher-level degree in Occupational Therapy

Tools

Microsoft Office Suite

Job description

Acentra Health, LLC is seeking a Clinical Reviewer to join our team in Arkansas. You will review medical records to determine medical necessity and appropriateness of care, and coordinate referrals as needed.

The role demands strong critical thinking, solid documentation, and strict HIPAA adherence. Ideal candidates hold an OT license in Arkansas with 2+ years of OT experience and 1+ year supporting individuals with developmental disabilities.