Clinical Reviewer Jobs – Apply to Latest Clinical Reviewer Job Vacancies

Nurse Reviewer | Medical Coding, Billing, Claim, Clinical Expertise | V3 Staffing

3.0 - 8.0 years

10 - 12 Lacs

Hyderabad

Work from Office

Our reputed MNC Client is hiring for Nurse Reviewer role: Shift: 11:30 AM - 8:30 PM Work Mode: Work From Office (5 days) Location: Hyderabad Job Summary: We are seeking an experienced Nurse Reviewer to conduct in-depth claim reviews based on medical guidelines, clinical criteria, and billing rules. The ideal candidate will have a strong understanding of medical coding, clinical experience, and excellent communication skills. Key Responsibilities: - Conduct claim reviews to identify areas with savings potential - Review and validate charges against medical documentation - Contact medical providers to resolve billing inconsistencies - Manage claims reports and prioritize according to client stipulations - Maintain production metrics and quality assurance scores Requirements: - Current RN/LPN license - Varied clinical experience (Med/Surgery, ICU, Emergency Medicine) - Understanding of hospital coding and billing rules - Experience in medical claims review and audit techniques - Excellent communication and organizational skills Preferred Qualifications: - Background as a nurse or doctor - 4-5 years of hands-on experience in medical coding - Strong understanding of medical coding related to post-operative care, joint replacement, spinal surgery, and cardiac surgery procedures Warm Regards, Gayatri Kumari Email Id: gayatri@v3staffing.in V3 Staffing Solutions

Posted 1 week ago

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Clinical Reviewer Sagality India

1.0 - 4.0 years

0 - 0 Lacs

Hyderabad

Work from Office

Roles and Responsibilities Review clinical documents such as medical records, lab reports, radiology results, and other relevant data to ensure accuracy and completeness. Verify patient information, diagnoses, treatments, medications, and outcomes against electronic health records (EHRs) or paper charts. Identify discrepancies between EHRs/charts and resolve them by contacting physicians or updating documentation accordingly. Maintain confidentiality of all patient information while performing reviews. Collaborate with healthcare providers to clarify any unclear or incomplete information. Desired Candidate Profile 1-4 years of experience in a similar role as Clinical Reviewer/Staff Nurse. B.Sc Nursing degree from an accredited institution. Strong understanding of clinical documentation principles and practices. Proficiency in reviewing various types of clinical documents using electronic systems.

Posted 2 weeks ago

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Were Hiring Clinical Investigator / Reviewer | Hyderabad | Upto 7 LPA Axis Services

1 - 6 years

3 - 7 Lacs

Hyderabad, Chennai, Mumbai (All Areas)

Work from Office

Role & responsibilities Were Hiring Clinical Investigator / Reviewer | Hyderabad | Up to 7 LPA We're looking for a Clinical Reviewer to join our team in Hyderabad! Role: Clinical Reviewer Location: Hyderabad Experience: Minimum 1 year in Clinical Review Certification: CPC certification is mandatory Compensation: Up to 7 LPA Notice Period: Immediate to 30 days Relieving Letter: Required Interested? Send your updated resume via WhatsApp to: HR Surya 8125761519 Referrals Welcome! Know someone who fits the bill? Refer them and help them land a great opportunity! Preferred candidate profile Were Hiring Clinical Investigator / Reviewer | Hyderabad | Upto 7 LPA

Posted 1 month ago

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We Are Hiring || IVR Clinical Reviewer || Hyderabad || Up To 7 LPA Axis Services

1 - 5 years

3 - 7 Lacs

Hyderabad

Work from Office

We Are Hiring || IVR Clinical Reviewer || Hyderabad || Up to 7 LPA Exp :- Min 1+ years exp as a Clinical reviewer into IVR Only certified coders *Package :-Up to 7LPA Locations :- Hyderabad Work from office Reliving is Mandatory Notice period:Prefers Immediate joiners- 30 days Interested candidates can share your updated resume to amounikaaxiservices@gmail.com HR Mounika - 9849854938 (share resume via WhatsApp ) Refer your friend's / Colleagues

Posted 1 month ago

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