Minnesota Licensed Medical Record Reviewer

Job Summary

A company is looking for a Diagnostic Radiology- Medical Record Reviewer.

Key Responsibilities

• Review medical records and address client-specific questions using established criteria
• Ensure clear documentation and rationale for determinations made during reviews
• Maintain proper credentialing and respond to quality assurance issues and regulatory matters

Required Qualifications

• Board certification in a relevant medical field
• Active practice in the medical field
• Knowledge of national and state guidelines for medical necessity
• Ability to utilize evidence-based criteria for decision-making
• Compliance with state licensing and certification requirements