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.
The position requires a quiet, secure, HIPAA-compliant working station and offers remote work during Eastern Standard business hours.
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
$79,560.00 - $115,720.80/Annual
Skills & Requirements
Must-have
Clinical data interpretation
EHR systems proficiency
HIPAA-compliant workstation
Nice-to-have
Multidisciplinary team collaboration
Constructive feedback provision
Key Requirements
Bachelor's Degree in Nursing
Registered Nurse (MA State License)
3+ years clinical nursing experience
2+ years quality assurance/clinical review experience