Remote Clinical Quality Review Nurse & Coder
Medica
Minnetonka, MN
- Remote job
Medica, a nonprofit health plan, seeks a Clinical Quality Review III (RN and Certified Coder) to conduct medical record reviews, data collection, and clinical audits across its network. You will assess documentation accuracy, adherence to clinical standards, and compliance with HEDIS, STARS, CMS Cost Audit, and RADV, while sharing expertise to strengthen quality review processes. This remote role requires strong nursing and coding skills, 5+ years in quality reviews, and the ability to educate #J-18808-Ljbffr Medica
Vacancy posted 3 days ago
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