Broadway Ventures
At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, weāre more than a service providerāweāre your trusted partner in innovation.
The RN Senior Medical Reviewer provides advanced medical review expertise and supports oversight of the medical review process, focusing on complex services and quality assurance.
Education: Bachelor of Science in Nursing (BSN) Licensure / Certifications: Current, active, unencumbered Registered Nurse license in the United States Certified Coder credentials required Experience: Minimum of three (3) years of medical record review experience At least three (3) years of current and/or relevant clinical experience Two (2) years of quality assurance experience required Additional Qualifications: Extensive knowledge of the Medicare program Working knowledge of CMS FFS RAC Program requirements and activities
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Assist Medical Review Management with monitoring the medical review process Conduct medical record reviews for complex services Evaluate compliance with Medicare coverage, coding, and billing rules Contribute to medical review and proposal deliverables Participate in quality assurance activities to ensure consistency and accuracy
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Basic
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$34
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$79
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