- Review patient charts and documentation against defined coverage criteria
- Work with internal AI software that enables review productivity
- Apply structured processes to determine documentation sufficiency
- Identify missing or inconsistent documentation and flag appropriately
- Produce clear, standardized written summaries of review outcomes
- Meet daily throughput and quality targets (e.g., reviews/day, QA pass rates)
- Incorporate feedback from QA and continuously improve accuracy and speed
- Collaborate with product team to refine software over time
Attention to detailWritten communication