Remote Medical Reviewer

Summary

Join our growing team at Pattern Data as a Medical Reviewer and contribute to the accuracy, quality, and compliance of legal reviews and claims processing by reviewing and analyzing medical records.

Requirements

• Clinical professionals such as registered nurses (RN), licensed practical nurse (LPN), advanced practice registered nurses (APRN/NP), emergency medical technician (EMT), and physician assistants (PA) are preferred
• Minimum of 5 years of experience in medical record review, medical coding, medical content writing, healthcare compliance, or related roles
• Strong knowledge of medical terminology, healthcare procedures, and industry-standard coding systems
• Experience with Electronic Health Record (EHR) systems
• Strong analytical and critical thinking skills

Responsibilities

• Develop plans for implementing and improving the medical accuracy of litigation setups
• Review and evaluate medical records for accuracy, completeness, and litigation claims requirements
• Perform quality reviews of trained model’s classifications on medical records to identify weaknesses
• Research relevant medical literature to develop claims protocols that assist users in reviewing cases on Pattern
• Utilize experience and research to formulate questions for medical experts and make informed medical decisions regarding qualifying claims requirements and rules
• Delegate tasks to Pattern’s contracted of clinical data reviewers, ensuring their work is high value add, efficient, and consistent with instructions

Benefits

Please apply directly through our website or Linkedin