versemedical - Clinical Documentation Review Nurse

Remote - USA$70k - $90k1mo ago

Remote Mid NA Health Insurance Insurance Nurse Practitioner Clinical Documentation Documentation

Requirements

• Active RN license (BSN preferred but not required) • 2+ years of clinical experience OR prior utilization review / documentation review experience • Extremely strong attention to detail • Fast learning rate of new concepts • Ability to follow structured workflows and apply rules consistently • Comfort working in a high-throughput, metrics-driven environment • DME, Medicare regulations/surgical dressing reviews preferred but not required • THE REWARDS & REALITY: COMPENSATION, BENEFITS & LOGISTICS • Meaningful Compensation: $70,000-$90,000 base salary • Comprehensive Health & Wellness: We cover 100% of your health insurance premium and provide access to high-quality dental and vision insurance plans for you and your dependents. • Plan for the Future: We offer a 401(k) plan to help you save for your future. At this time, the company does not offer a 401(k) match. • Career Growth: You'll have opportunities for rapid career advancement in a company that's at a major inflection point. We want you to grow with us. • Work Environment & Location:

Responsibilities

• Review patient charts and documentation against defined coverage criteria • Work with internal AI software that enables review productivity • Apply structured processes to determine documentation sufficiency • Identify missing or inconsistent documentation and flag appropriately • Produce clear, standardized written summaries of review outcomes • Meet daily throughput and quality targets (e.g., reviews/day, QA pass rates) • Incorporate feedback from QA and continuously improve accuracy and speed • Collaborate with product team to refine software over time • WHAT YOU'LL BRING: THE SKILLS AND EXPERIENCE YOU’LL LEVERAGE