Medical Claims Reviewer, 6 Month Contract (Remote)

<div class="content-intro"><div class="et_pb_module et_pb_text et_pb_text_0 et_pb_text_align_left et_pb_bg_layout_light"> <div class="et_pb_text_inner"> <p style="text-align: justify;">At <strong>Broadway Ventures</strong>, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation.</p> </div> </div></div><h1><strong>Medical Review Nurse (Temporary Contract, Remote)</strong></h1> <p><strong>Compensation rate: $32.5K/$31.25/hr. 6 month salary basis</strong></p> <p>We are seeking a dedicated RN to conduct medical reviews to perform comparisons between End Stage Renal Disease patient medical records documentation and data submitted to the Centers for Medicare and Medicaid Services (CMS) End Stage Renal Disease Quality Reporting System (EQRS) and the Centers for Disease Control (CDC) National Healthcare Safety Network (NHSN) based on the approved data validation methodology. Determine and classify discrepancies found based on the type and severity of errors. Common error categories might include missing data, incorrect values, and data entered in the wrong fields.</p> <h2><strong>Position Details</strong></h2> <ul> <li><strong>Job Type:</strong> 6 Month Contract, possibility for extension/conversion</li> <li><strong>Duration: </strong>Target; November 2026 – May 2027</li> <li><strong>Schedule:</strong> Monday-Friday, 8:00 AM – 4:30 PM (40 hours/week)</li> <li><strong>Location:</strong> Remote U.S. (Work from home)</li> <li><strong>Requirements for Remote Work:</strong> High-speed internet (non-satellite) and a private, lockable home office.</li> </ul> <h2><strong>Key Responsibilities</strong></h2> <ul> <li>Conduct ESRD medical record reviews comparing medical record documentation to EQRS and NHSN to determine accuracy and timely reporting.</li> <li>Determine and classify discrepancies found based on the type and severity of errors. Common error categories might include missing data, incorrect values, and data entered in the wrong fields.</li> <li>Participate in quality control activities to support corporate and team objectives.</li> <li>Assist with special projects or responsibilities as assigned by management.</li> </ul> <h3><strong>Minimum Qualifications</strong></h3> <ul> <li><strong>Licensure:</strong></li> <ul> <li>Active, unrestricted RN licensure in the United States and in the state of hire<br><em>OR</em></li> <li>Active compact multistate unrestricted RN license (as defined by the Nurse Licensure Compact).</li> </ul> </ul> <ul> <li><strong>Education:</strong></li> <ul> <li>Associate Degree in Nursing<br><em>OR</em></li> <li>Graduate of an accredited School of Nursing.</li> </ul> </ul> <ul> <li><strong>Required Experience: </strong> <ul> <li>Two years of clinical experience <em>plus</em> two years of experience with utilization/medical review, quality assurance or end stage renal disease/dialysis.</li> </ul> </li> </ul> <ul> <li><strong>Ski