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State Licensed Medical Review Manager

6/4/2025

Remote

Job Summary

A company is looking for a Medical Review Manager for Clinical Chart Validation.

Key Responsibilities
  • Oversee the CCV review process and apply regulations and client policy
  • Educate and direct personnel on review guidelines and concept logic
  • Coordinate activities of all stakeholders involved in the CCV Review
Required Qualifications
  • Bachelor's degree in Nursing or equivalent combination of education and experience
  • AHIMA / AAPC coding certification (CPC, CPC-H, or CCS) required
  • Current Registered Nurse (RN) license in the United States or U.S. Territory
  • Minimum of 5 years of experience in auditing medical records
  • Minimum of 8 years of related experience in healthcare settings

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