Essential Duties and Responsibilities Evaluates clinical information received, writes and/or reviews various reports including Audit of Medical records and bills, Medical Record Reviews, Medical Record Chronologies, Provider Bill Reviews, Coding Reviews, Hospital Bill Reviews, List of Missing Records, Medical Bill Apportionments, Mock Billing Invoice and Medical Summary Statements Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations Ensures that all client instructions and specifications have been followed and that all questions have been addressed Ensures each review is...read more

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