RN Clinical Reviewer

Myers and Stauffer LC is a certified public accounting and health care reimbursement consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 20 offices and have over 900 associates nationwide.

At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government healthcare clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team.

What We Offer:

• Health, Dental, and Vision insurance along with other competitive employee benefits
• Vacation time, sick time, paid holidays, and two floating holidays
• Paid Parental Leave and available support resources
• 401K with company matching for eligible employees
• Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks
• A combination of technical and leadership development training at each career milestone
• Up to six counseling sessions per year for eligible employees through our Employee Assistance Program

Position Overview:
The RN Clinical Reviewer will independently review/audit nursing facility medical records relating to the Minimum Data Set (MDS).  Applicant may be a 100% remote employee.

Essential Functions:

• Review resident medical records for accuracy, completeness and consistency with professional standards
• Participate in remote and on-site field examinations of Medicaid providers to review clinical documentation
• Successfully interact with providers in a professional manner, developing rapport and enhancing business relationships
• Maintain security of and confidentiality of all Protected Health Information (PHI)
• Additional responsibilities as assigned
   

Requirements:

• Bachelor’s degree in Nursing or other related health care field required (Associate’s Degree from accredited nursing school with related experience may be substituted in lieu of a bachelor’s degree)
• Must be a licensed Registered Nurse (RN)
• Minimum 3 years of long term care experience required; 5 years preferred
• MDS experience preferred
• Experience and knowledge of State and Federal healthcare regulations in long term care
• Knowledge of Medicaid reimbursement and coverage policies desired
• Proficient use of applicable software programs, including Microsoft Windows, Word, Excel
• Strong verbal and written communication skills
• Ability to manage multiple deadlines and prioritize assignments
• Ability to work in a team environment
• Well organized with a high degree of accuracy and attention to detail
• Must be able to travel based on client and business needs (up to 20% Travel)
   

The Team: 
Myers and Stauffer takes pride in the welcoming and collaborative culture we have throughout our offices. For this position, the employee will report to one of our Senior Managers on the Nursing Facility Rate Setting & MDS engagement team.

Work Style: 
This is a fully remote position with a hoteling option available for candidates who live near one of our 20 office locations. Our general business hours are Monday through Friday 8am-5pm, but can vary based on business needs. Dependent on performance, our in-office associates are eligible for a hybrid work schedule after their initial 90-day training period. As a company, we are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.

Typical Interview Process:

• Phone Screen with a Recruiter
• In person or remote interview with the hiring manager & team
• Hiring decision and job offer

In compliance with states that have an active pay transparency law, the annual salary target for this job in this market is $78,000-$85,000. The specific compensation for this role will be determined based on education, experience and skill set of the individual selected for this position.

The compensation above is not representative of an employee’s total compensation. Beyond income, you have access to: comprehensive medical and dental insurance, retirement savings, life and disability insurance, health care and dependent care reimbursement accounts, certification incentives, education assistance, referral program and much more. 

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Salary : $78,000 - $85,000