Clinical Documentation Review Nurse
New
V
Verse MedicalHealthcare
Location: RemoteFull-TimeJunior
Salary70,000 - 90,000 USD per year
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Job Details
- Experience
- 2+ years of clinical experience OR prior utilization review / documentation review experience
- Required Skills
- Attention to detailWritten communication
Requirements
- Active RN license (BSN preferred but not required)
- 2+ years of clinical experience OR prior utilization review / documentation review experience
- Extremely strong attention to detail
- Fast learning rate of new concepts
- Ability to follow structured workflows and apply rules consistently
- Comfort working in a high-throughput, metrics-driven environment
- Strong written communication skills
- DME, Medicare regulations/surgical dressing reviews preferred but not required
Responsibilities
- 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
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