Senior Nurse Reviewer

Mass General Brigham Incorporated

Boston, MA, US
Base: $79,560.00 - $115,720.80/annual; bonus/equit...
Fully remote
Clinical data interpretation
Ehr systems proficiency
Hipaa-compliant workstation
The Nurse Reviewer is responsible for the coordination, facilitation, and appeal of the clinical components of charge audits and forensic review findings

Job Summary

  • The Nurse Reviewer is responsible for the coordination, facilitation, and appeal of the clinical components of charge audits and forensic review findings.
  • This role plays an important part in appealing challenges to charging policy and practice, responding to the impact of pre- and post-payer audits on MGB net revenue.
  • Mass General Brigham relies on a wide range of professionals to advance its mission of patient care, research, teaching, and community service.

Matching Summary

The Nurse Reviewer is responsible for the coordination, facilitation, and appeal of the clinical components of charge audits and forensic review findings.

Salary

Base: $79,560.00 - $115,720.80/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Clinical data interpretation
  • EHR systems proficiency
  • HIPAA-compliant workstation

Nice-to-have

  • Constructive feedback provision
  • Multidisciplinary team collaboration

Key Requirements

  • Bachelor's Degree in Nursing
  • Registered Nurse [RN - MA State License]
  • 3+ years clinical nursing experience
  • 2+ years quality assurance/clinical review experience

Work Rights

Not specified

Tailored Resume

Cover Letter