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RN Medical Reviewer at Broadway Ventures - ApplyBlast

RN Medical Reviewer

Broadway Ventures

2 months ago

4.5 on Glassdoor

Onsite

Full Time

Junior

0 applicants

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About this role

The role involves conducting comprehensive reviews of home health pre‑claim review packages to assess Medicare compliance, coding, and payment criteria. The reviewer documents outcomes with clinical rationale, engages with providers for clarification, and maintains high accuracy while completing required training and quality assurance activities.

Responsibilities

Conduct comprehensive reviews of home health pre‑claim packages
Document review outcomes with clinical rationale in the case management system
Engage with providers to request or clarify documentation and escalate concerns

Skills

Qualifications

RN license

About Broadway Ventures

broadwayventures.net

Headquarters

Vicksburg, Mississippi, United States

Company Size

11-50 employees

Founded

2013

View Profile

Broadway Ventures is a Service-Disabled Veteran-Owned Small Business (SDVOSB), HUBZone, and Small Disadvantaged Business (SDB) headquartered in Vicksburg, Mississippi, providing services to federal agencies and their prime contractors. The company offers program management, information technology, cybersecurity, Medicare and Medicaid administration, and environmental research and consulting services. Broadway holds prime contracts with the U.S. Air Force and the Centers for Medicare and Medicaid Services (CMS), and is accessible through contract vehicles including the GSA Multiple Award Schedule and the 8(a) STARS III GWAC.