Senior Clinical Reviewer

19 hours ago


Kansas City, Missouri, United States Research Medical Center Full time

Discover a career opportunity as a Senior Clinical Reviewer at Research Medical Center, part of the nation's leading provider of healthcare services, HCA Healthcare.

Job Summary

We have an exciting opportunity for you to join our team and take on a challenging role in ensuring patient safety and quality care. As a Senior Clinical Reviewer, you will be responsible for performing medical record reviews to examine and assess provider documentation, promoting a culture of continual survey readiness, and providing ongoing coaching, training, and guidance in documentation to support accurate severity of illness and complexity of care.

  • You will perform prospective, concurrent, and retrospective review of various types of patient medical records from multiple settings.
  • Promote a culture of continual survey readiness by acting as a resource for staff and partner in performance improvements.
  • Provide ongoing coaching, training, and/or guidance in documentation to support appropriate severity of illness, expected risk of mortality, and complexity of care for the patient.
What You Will Do

In this role, you will:

  • Serve as a clinical reviewer assessing patient medical records to ensure accuracy and completeness.
  • Participate in performance improvement initiatives to enhance quality care and patient outcomes.
  • Collaborate with healthcare teams to provide education and support in documentation best practices.

To succeed in this position, you should possess excellent communication and interpersonal skills, with the ability to work effectively in a fast-paced environment. You must also have strong analytical and problem-solving skills, with the ability to interpret complex data and make informed decisions.

Required Qualifications

Registered Nurse (RN) degree required; Associate Degree or Bachelors Degree preferred.

A minimum of 2 years of experience in clinical review or a related field is necessary. Knowledge of spreadsheets, database management software, and quality improvement methodology is essential.

You must be able to type correspondence using excellent communication and grammar, and understand and present data in a usable format. Computer software skills, including PowerPoint and spreadsheet software, are necessary for success in this role.

About Us

Research Medical Center is a 585+ bed hospital offering an array of medical and health clinic services. Our hospital provides women's services, emergency room care, trauma center services, and specialty care areas including a Chest Pain Center, Level I Trauma Center, Breast Care Center, Cardiovascular Rehabilitation Programs, and Primary Stroke Center.

We are one of 10 HCA Midwest Health hospitals in Kansas City and surrounding areas. Our professional staff includes psychiatrists, psychologists, social workers, and licensed professional counselors. We are committed to delivering skilled, compassionate care to our patients regardless of age or circumstance.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

We offer a competitive salary and benefits package, including comprehensive medical coverage, dental and vision benefits, flexible spending accounts, supplemental health protection plans, auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance, and more.



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