Remote Claims Documentation Reviewer (Part-Time)

TALENT Software Services; Phoenix (AZ); Remote; USD 68,880 - 71,635; Part time

Job summary

A healthcare consultancy is seeking a Claims Clinical Documentation Reviewer for a part-time, remote role. The ideal candidate will possess a background in behavioral health services and a strong skill set in clinical documentation review. Responsibilities include reviewing clinical documents, maintaining confidentiality, and conducting audits. Applicants should have a Behavior Health License and a Level 1 Fingerprint Clearance Card. Flexible hours with a pay of $50.00 to $52.00 per hour.

Qualifications

• One year of clinical and programmatic experience working with behavioral health services preferred.
• Advanced experience in clinical documentation review and analysis preferred.
• Behavior Health License, associate or independent required.
• Level 1 Fingerprint Clearance Card is required.

Responsibilities

• Review clinical documentation for Medicaid services.
• Maintain confidentiality regarding member PHI.
• Conduct re-reviews of behavioral health records.
• Submit standardized audit tools to management.
• Attend meetings with staff and providers as needed.

Skills

Problem solving

Excellent communication skills

Organizational skills

Analytical skills

Interpersonal skills

Documentation and reporting

Microsoft and Google Suite

Job description

A healthcare consultancy is seeking a Claims Clinical Documentation Reviewer for a part-time, remote role. The ideal candidate will possess a background in behavioral health services and a strong skill set in clinical documentation review. Responsibilities include reviewing clinical documents, maintaining confidentiality, and conducting audits. Applicants should have a Behavior Health License and a Level 1 Fingerprint Clearance Card. Flexible hours with a pay of $50.00 to $52.00 per hour.