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* RN - QUALITY REVIEW COORDINATOR
Description:
Performs a variety of duties in support of the quality assurance and compliance function of the Physician Reimbursement Center. Performs prospective chart reviews to ensure medical record accurately reflects the patient’s level of service, severity of illness and risk of mortality. Works closely with physicians to clarify, assist and educate with documentation.

Job Title: * RN - QUALITY REVIEW COORDINATOR Department: PHY BILLING SVC
Category: Clinical Facility: Freeman Business Center
Shift: Day Location: Joplin, MO
Status: Full Time Sign On Bonus: No
# of Positions: Referral Bonus: No

Qualifications:
Working knowledge of Medicaid, Medicare and third party payor regulations and reimbursement system, standards of outside/publicly reported grading agencies, and at least basic coding guidelines preferred, but not required.
Knowledge of age-specific needs and the elements of disease processes and related procedures, understanding of pathology/physiology, and pharmacology.
Excellent written and verbal communication skills and critical thinking skills.
Computer literacy and willingness to learn to use various computer applications related to job and familiarity with the operation of basic office equipment.
Ability to develop comprehensive reports.

Requirements:
Current Missouri Registered Nurse license.
Minimum of 3 years of clinical experience in an acute care setting, (ICU, Medical/Surgical or Emergency Department nursing preferred).

Comments:
None