ACES Logo

Posted August 2, 2022

Medical Review Editor – AllMed

Location:

Portland, Oregon

Description:

AllMed Healthcare Management’s mission is to improve the quality and integrity of healthcare by providing independent medical review services that help payers and providers deliver better health outcomes. We partner with hundreds of leading health insurance and hospital organizations and have maintained consistent growth, through our commitment to the highest quality, client satisfaction, and technology innovation. Services are delivered through PeerPoint®, AllMed’s state-of-the-art medical review portal.

Position Summary

The Medical Review Editor can be relied upon for multiple functions within the Clinical Operations Department. The primary job functions entail reviewing clinical documentation and review criteria policies to prepare, summarize and organize information for physician review; proofing, editing, and formatting medical reviews; providing quality assurance on medical reviews by verifying adherence to operational processes and documentation/style guidelines; maintaining a balance of accuracy and speed; providing customer service support including responding to incoming calls and emails and assisting with resolution of customer concerns for MedReview and Federal External Appeals (FEA).

Qualifications

To perform this job successfully, the individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

Degree required, 4-year university degree in writing, editing, or healthcare related area is preferred.
Knowledge and understanding of the healthcare industry, terminology and standards, preferably with at least two years’ experience in a healthcare setting.
Excellent writing and documentation skills, including high degree of accuracy in spelling, grammar, punctuation, and formatting of professional documents.
Strong understanding of medical terminology and acronyms.
A strong customer service orientation and teamwork ethic are essential.

To Apply:

https://phe.tbe.taleo.net/phe03/ats/careers/requisition.jsp?org=ALLMEDMD&cws=1&rid=359

Please do not contact ACES with your application or with questions for a particular job posting. Instead, you should contact the company directly. Messages sent to ACES from applicants are automatically deleted.
View All Listings