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← Broadway Ventures

Home Health/Medicare RCD Clinical Reviewer

Broadway Ventures
Location
United States
Posted
25 days ago
Department
Medical Services
What they actually want (must-haves)
  • Active, unrestricted RN license in state of residence
  • Minimum of 2 years of clinical experience
  • At least 2 years of experience in home health, quality assurance, or utilization review
Nice to have
  • Experience in home health (OASIS, Medicare Conditions of Participation)
  • Prior involvement with MAC/RCD/CMS program integrity
  • Proficiency in ICD coding
What the job really is

The Home Health/Medicare RCD Clinical Reviewer at Broadway Ventures is responsible for conducting thorough reviews of home health pre-claim review packages to ensure compliance with Medicare standards. This role involves documenting outcomes, engaging with providers for clarification, and maintaining high accuracy standards while fulfilling training and quality assurance requirements.

Benefits
  • 401(k) and company match
  • PTO that grows the longer you stay
  • Health, Vision, Dental
  • Company provided Life Insurance and Voluntary Life Insurance
  • Short Term Disability and Long Term Disability
Things to weigh
  • Compensation rate of $65K annual may vary based on job-related factors
  • Position start date is not until December 2026
  • Some positions may be contingent on contract awards, affecting job security
Job score2.8/5
Benefits3/5
Freshness4/5
Career value3/5
Role clarity4/5
Pay transparency0/5

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