Medical Record Reviewer Job at J29, Inc, Baltimore, MD

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  • J29, Inc
  • Baltimore, MD

Job Description

Job Description

Job Description

J29 is an employee centered healthcare management consulting company that specializes in processing, reviewing, and analyzing medical claims, records, disputes, and audits. Established in 2017, J29 prides itself on its employee centric culture and high employee retention rates that allow us to ensure that we are creating a working environment that prioritizes the employee experience. Our team brings corporate performance that stretches to various areas where we can provide our clinical, healthcare policy, and compliance expertise through our support to health and human service programs at the State, Federal, and Commercial levels.

In support of the Health Resources and Services Administration (HRSA), an agency under the Department of Health and Human Services, J29 provides medical analysis services by writing medical summaries on various types of claimant cases that involve claimants’ experiences limited range of motion and/or pain. We are looking for Medical Reviewers to assist us in the review process and ultimately help us write medical chronologies and summaries on these claims: 

Duties:   

  • Obtain and review the case file, which includes the petition, medical records, affidavits, depositions, exhibits, and other relevant documentation for determining; 

  • Adequacy of available information, likelihood of vaccine causation based on medical principles, knowledge of the literature and 

  • An understanding of associated disease and conditions 

  • Consult on the case with the assigned program personnel (J29 or HRSA experts, and Office of General Counsel (OGC) Attorney and/or the Department of Justice (DOJ) attorney) to ensure that proper records and facts are being notated. 

  • Ensure that all summarizations and chronologies are written in legible, grammatically-correct grammatically correct, and error-free formats. 

  • Work to notify the applicable support staff of the need for additional requests for information in the medical record file 

  • Provide an initial written summary (chronology) draft, and eventual final summary to the Team Lead by the assigned due date.

  • Participate in group panel discussions on case findings in order to reach a consensus on proceedings of case, as needed and only when requested 

  • Abide by J29 and HRSA’s strict information technology policies on the handling of Protected Health Information (PHI), and other requirements for the handling of protected patient data 

  • Work with J29, HRSA, and other J29 partners, should further consultation be needed on a case due to complexity. 

  • Ensure that all medical record review and summarizations are written and ompleted in a quality manner, while also meeting the timeliness goals. 

General Experience: 

  • 3+ years of experience reading and writing medical chronologies, and summarizing large amounts of medical records 

  • Ability to, without bias, provide detailed and accurate summaries of claimant case file information across different exhibits.

  • Possess the experience and skill to independently diagnose condition(s) after extensive review of medical records, determining what records should be correlated or uncorrelated to the issue. 

  • Well versed in the comprehension and understanding of medical abbreviations and doctor’s formatting of medical records. 

  • Possess the skill to review available credible scientific and medical literature and make decisions regarding whether a vaccine or countermeasure caused an injury/death. 

  • 2+ years of experience with independent medical diagnosis after medical record review. 

Education Requirement:

  • Advanced Medical Professional Degree: 

  • Physician Assistant, Registered Nurse; Nurse Anesthetist, Nurse Practitioner, Clinical Nurse Specialist, Physical Therapist. 

J29, Inc. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.  J29, Inc. is a proud Veteran friendly employer. 

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