Clinical Quality Reviewer

Overview

Role ensuring clinical accuracy and compliance of documentation for veterans' claims.

Ideal candidate has 3+ years in clinical documentation with strong communication skills and understanding of VA claims.

This position is NOT APPLICABLE to residents of: Alabama, California, Colorado, Kentucky, Montana, New York, North Dakota, Ohio, Oregon, Washington, Wyoming

Locations

• United States, Oregon
• United States, New York
• United States, Montana
• United States, Wyoming
• United States, Colorado
• United States, Kentucky
• United States, Ohio
• United States, California
• United States, Alabama
• United States, North Dakota
• United States, Washington

Requirements

• Active RN license required
• 3+ years in clinical documentation or quality assurance
• Strong written communication skills
• Understanding of VA disability claims process
• Experience with CRM or EHR platforms

Responsibilities

• Review clinical documentation for compliance
• Validate medical logic and completeness
• Manage clinical help desk system
• Track turnaround times and report quality trends
• Provide education on documentation standards

Benefits

• Healthcare plans
• 401(k) with employer match
• Paid Time Off
• Short and Long-Term Disability
• Paid Parental Leave