Physician: Medical Records Reviewer

At NSPR, we are more than a nationally recognized litigation law firm, we are making a mark in the legal field with our landmark settlements and groundbreaking verdicts. Our expert team specializes in personal injury, environmental law, pharmaceutical, civil rights, class actions, mass torts, and complex business litigation.

We are fiercely dedicated to our clients and driven by a passion for justice. If you are a skilled professional ready to make a significant impact, we invite you to be part of our dynamic team as Medical Records Reviewer for our office in San Juan, PR.

Job description

The Medical Records Reviewer is responsible to accurately digest & dissect client medical record, document, and communicate findings. The Reviewers main objective is to use combination of medical/legal knowledge expertise & settlement criteria to achieve the best possible outcome for our clients.

Duties and responsibilities

• Demonstrates proficient knowledge of Medical Record Review process:
• Identifies medical records for review
• Database entry field definitions
• Confirm accurate record labelling
• Confirm record is linked to correct client, provider, and order #
• Criteria for proof of use/proof of injury records by ccode
• Corrective action as necessary
• Demonstrates proficient medical knowledge and interpretation of medical record content
• Serves as medical resource for the Medical Review staff, case management teams, and clients
• Demonstrate proficient knowledge of ccode and settlement relevant medical criteria in order to maximize settlement values
• Accurately review & discern relevant medical records & findings
• Properly document & communicate relevant findings
• Works with Director to develop guidelines and best practices that increase efficiency and productivity
• Represent the firm in a positive and professional manner at all times
• alternatives for process improvements
• Maintain a good working relationship within the department and other departments
• Maintain client PHI confidentiality at all times
• Report to work on time and as scheduled
• Participate in performance improvement and continuous quality improvement activities
• Document daily status updates as required

We offer a Competitive Benefits Package which includes:

• Medical, Dental and Vision Insurance
• Liability Insurance
• 401K
• Deferred Compensation
• Vacation/ PTO and Company Holidays
• Employee Events

Language:

• English Fluent (Advanced)

Degree

• Medical Degree from an Accredited university.

Work authorization:

• United States (Required)

Work Remotely:

• No