Clinical Review Manager

A company is looking for a Clinical Review Manager (Remote). Key Responsibilities Manage and oversee all Review Operations activities, ensuring compliance with clinical, contractual, and budgetary standards Ensure timely completion of contract deliverables and review activities, while preparing and submitting required reports Act as a liaison for addressing customer service issues and maintain strong communication with internal and external customers Required Qualifications AHIMA hospital-based coding credentials required RHIA or RHIT Certification Bachelor's Degree or equivalent experience in Health Information Management, Nursing, Healthcare Administration, or related area preferred 5+ years of hospital clinical coding experience required 3+ years of hospital utilization review experience required

Mar 7, 2025 - 00:16

A company is looking for a Clinical Review Manager (Remote). Key Responsibilities Manage and oversee all Review Operations activities, ensuring compliance with clinical, contractual, and budgetary standards Ensure timely completion of contract deliverables and review activities, while preparing and submitting required reports Act as a liaison for addressing customer service issues and maintain strong communication with internal and external customers Required Qualifications AHIMA hospital-based coding credentials required RHIA or RHIT Certification Bachelor's Degree or equivalent experience in Health Information Management, Nursing, Healthcare Administration, or related area preferred 5+ years of hospital clinical coding experience required 3+ years of hospital utilization review experience required