Primary Care Physician Oak Street HealthPrimary Care PhysicianDallas, TXGraduate Internal Medicine or Family Medicine Board Certification (Or board eligible) Active, non-probationary, unrestricted State License Active DEA license US work authorization Preferred Qualifications: Fellowship training in Geriatrics Experience practicing medicine among Geriatric populations Experience operating in a Value-Based Healthcare Model Experience working in a collaborative setting to ensure positive health outcomes Experience in outpatient primary care settings Bilingual proficiency where applicable Anticipated Weekly Hours 40. Responsibilities: Assess and diagnose patients at our local clinics Oversee, direct, and administer primary care Prescribe and administer pharmaceutical treatments and medication Maintain Patient Electronic Medical Record data via canopy and greenway Collaborate with regional and central leadership to meet health quality goals Work with Practice Managers to direct and manage the center care team Other duties as assigned Required Qualifications: Medical Doctor (M.D.) or Doctor of Osteopathy (D.O.)
Medical Records Clerk/ Transportation Aide The Plaza at RichardsonMedical Records Clerk/ Transportation AideRichardson, TexasIn this role, you will: Safely Transport Residents : Drive residents to and from medical appointments, therapy sessions, and scheduled activities. Assist with Mobility : Help residents ambulate and transfer using assistive devices and proper technique.
Medical Records Clerk IQVIA Holdings IncMedical Records ClerkIrving, TX$25,900–$64,800 / yearFollowing HIPAA guidelines gathers patient records from a variety of sources (i.e., mail, fax/eFax, email, etc.), which will require interacting with registration areas and/or physicians' office's in a professional manner. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.
NewMedical Records Specialist HCA Healthcare IncMedical Records SpecialistMcKinney, TXSubmit your application for the opportunity below: Medical Records Specialist Job Summary and QualificationsAs a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
Medical Records Representative United Surgical Partners International IncMedical Records RepresentativeDallas, TXWe are conveniently Located at Walnut Hill & 75 in the prestigious NorthPark area Specialties include: Orthopedics, Spine, General Surgery, Pain Management, Urology, GI/Endoscopy, Plastic, and Podiatry surgeries. As an organization, we provide employees with the resources, tools, and support to serve our patients and customers in the best way possible.
Patient Services Specialist - On-Base Medical Records Baylor Scott & White HealthPatient Services Specialist - On-Base Medical RecordsDallas, TXFor full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits. The Patient Services Specialist 1, with direct oversight, provides administrative support in a physician office, clinic, or other area.
NewMedical Records Specialist Revel StaffingMedical Records SpecialistDallas, TexasA growing healthcare organization is seeking a detail-oriented Medical Records Specialist to support clinical documentation, patient file management, physician order tracking, and general administrative workflows. This person should be able to follow detailed processes, communicate professionally with physicians and internal teams, and help ensure documentation is completed correctly and on time in a patient-centered healthcare environment.
Specialist, Provider Engagement (Medical Records) Molina Healthcare IncSpecialist, Provider Engagement (Medical Records)Fort Worth, TX1-3 years experience in healthcare with minimum 1 year experience improving provider Quality performance through provider engagement, practice transformation, managed care quality improvement, or equivalent experience. Drives provider partner coaching and collaboration to improve quality performance and risk adjustment accuracy through consistent provider meetings, action item development and execution.
Medical Records Coordinator SevitaMedical Records CoordinatorDenton, TXMaybe you would like to consider the Categories below: 582403d77aac4dc0bed43572c7392f0e. Medical Records Coordinator job in Denton, TX, US | Program Services/Program Management jobs at Sevita.
Medical Records Specialist Witherite Law Group PLLCMedical Records SpecialistRichardson, TXPosition Summary: Medical Records Specialist at Witherite Law Group is responsible for managing and organizing all medical records and related documents for ongoing personal injury cases, particularly those involving motor vehicle accidents. Detect, Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, Assess - The ability to observe details at close range (within a few feet of the observer).
Medical Records Coder 3 Methodist Health SystemMedical Records Coder 3Dallas, TXNamed one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Assist with resolution of OCE, medical necessity, discharge status, missing procedure charges, missing codes on claims and other billing issued provided through interaction with Central Business Office (CBO), medical STAFFnd other hospital departments.
MEDICAL RECORDS CODER 2 Methodist Health SystemMEDICAL RECORDS CODER 2Dallas, TXYour Job Requirements: • High school graduate or its equivalent • Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder • Proficient in detailed work • Maintain a professional image in handling confidential patient information • Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and health information management staff • Team oriented Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others.
MEDICAL RECORDS CODER 2- PRN Methodist Health SystemMEDICAL RECORDS CODER 2- PRNDallas, TXNamed one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement.
Medical Records Coder 2- Prn Methodist Health SystemMedical Records Coder 2- PrnDallas, TexasNamed one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement.
Medical Records Coder 2 Methodist Health SystemMedical Records Coder 2Dallas, TexasYour Job Requirements: • High school graduate or its equivalent • Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder • Proficient in detailed work • Maintain a professional image in handling confidential patient information • Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and health information management staff • Team oriented Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team Methodist Dallas Medical Center is one of North Texas’ best places to work. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement.
Student Records Clerk Serrato CorporationStudent Records ClerkMcKinney, TXFull timeProvide support for the student records function to ensure that students receive the support services and benefits necessary for successful participation in the Job Corps program while ensuring the maintenance of a uniform systems to account for and document the participation and achievement of program participants. Assists the Records Manager in scheduling sufficient arrivals to achieve and maintain contracted design capacity (On-Board Strength) through collaboration with OA contractors in geographic assignment plan (GAP).
Aircraft Logs and Records Clerk Textron IncAircraft Logs and Records ClerkTXPerforms other duties as assigned Qualifications + Minimum of 1 year of aviation systems administration experience + Knowledge of Aircraft Maintenance Database Systems (RAMCO, NALCOMIS, AMS) + Knowledge of word processing and spreadsheet applications + Ability to multitask and work cooperatively with others + Experience using complex tracking systems in an aircraft maintenance environment, + Knowledge of Cloud solutions such as Azure How We Care At Textron Systems, our talented people make us successful. Job Responsibilities: + Responsible for the accurate documentation of all Aircraft maintenance tasks in associated logs and records, monitors and updates Aircraft Flight Records, track and notify Maintenance Managers of aircraft component Life Limits, major inspections, and overhaul requirements throughout the life of the aircraft.
Electronic Health Records Administrator Cooper AerobicsElectronic Health Records AdministratorDallas, TXPartners with the HIPAA Security Officer and Chief Medical Officer to manage the compliance with HIPAA regulations for Cooper Clinic to maintain and ensure clinic business operations. The EHR Administrator also acts in the role of compliance officer for HIPAA related regulations, operational compliance and HIPAA management for Cooper Clinic.
RECORDS CLERK Rockwall City CouncilRECORDS CLERKRockwall, TX$20.33–$27.09 / hourTasks involve some physical effort, i.e., some standing and walking, or frequent light lifting (5-10 pounds); or minimal dexterity in the use of fingers, limbs, or body in the operation of shop or office equipment; may involve extended periods of time at a keyboard or work station. Prepare case packets for submission to District Attorney Office by gathering all documents submitted by arresting officer(s); making copies of 9-1-1 calls, body camera videos and patrol car camera videos.
SUPERVISOR, INVENTORY & RECORDS - Public Health Tarrant County TXSUPERVISOR, INVENTORY & RECORDS - Public HealthFort Worth, TX$20–$22 / hourThese programs include group health plans for medical, dental, and vision coverage; an Employee Assistance Program (EAP); life and long- term disability insurance; and flexible spending accounts for health care and dependent care reimbursements. Responsible for over fifty (50) vehicles retention and updating of maintenance records and schedules, coordinates routine maintenance and repairs, records and monitors mileage and utilization.
Program Manager - Records & Information Governance Opensity SolutionsProgram Manager - Records & Information GovernanceDallas, TexasWorking closely with the National Client Relations Manager, Records Operations Manager, and specialty team leaders, the Program Manager helps ensure commitments are met, projects remain on track, deadlines are achieved, and priorities are effectively managed. This role provides structure and visibility across a complex portfolio of initiatives by managing project plans, facilitating stakeholder coordination, maintaining governance documentation, tracking key deliverables, and supporting leadership with operational reporting and project administration.
Records Management Imaging Associate Staffmark Group LlcRecords Management Imaging AssociateCoppell, TXBy applying, you consent to receive AI-generated and non-AI-generated calls, texts, or emails from Staffmark Group, its affiliates, and partners. At Staffmark, we connect hardworking people with great companies, creating opportunities that make a lasting impact.
NewOpen Records Coordinator City of Fort WorthOpen Records CoordinatorFort Worth, TX$33.21–$41.51 / hourThe Open Records Coordinator administers the City's Public Information Act Response Program as outlined by Texas Government Code, Chapter 552, coordinates and provides procedural support to a citywide network of departmental liaisons, and ensures the City is providing information promptly and is compliant with requirements of the Texas Public Information Act. The Open Records Coordinator''s job responsibilities include: Administers the City's public information request response program by managing the receipt of requests; entering, reviewing, assigning, and saving the City's electronic file copy of each request along with any and all attachments; clarifying, cost estimation and calculation; tracking and monitoring to ensure timely completion of all requests.
Police Records Coordinator Grapevine City HallPolice Records CoordinatorGrapevine, TX$20.88–$30.28 / hourAnswers telephones for the Records Division, as well as all unanswered department specific calls and general operator calls via the police department phone tree; greets and assists the public at the Records counter and front lobby; contacts dispatch for walk-in reports; controls access to the Public Safety Building; announces and/or directs visitors to the proper department; maintains visitor logs; issues and maintains logs for passes and elevator access; maintains logs of department donations/gifts received. Receives, reviews, scans, verifies, and enters reports for Police and Animal Services, including, but not limited to arrest reports, offense reports and crash records; prepares daily reports for case assignments; maintains the offense, arrest and crash logs to ensure all reports are completed in compliance with department policy and state and federal laws.
Bilingual Medical Receptionist (Part-Time) Green Oaks Physical TherapyBilingual Medical Receptionist (Part-Time)Bedford, TX$15–$17 / hourPart timeWe are a team of therapist-owned outpatient physical therapy clinics specializing in general orthopedics and sports medicine, with 25 years of well-qualified therapy experience. Your enthusiasm, attention to detail, and commitment to excellent customer service will help ensure smooth operations and positive patient interactions throughout their visit.
Medical Receptionist Humana IncMedical ReceptionistGrand Prairie, TX$38,000–$45,800 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
Medical Receptionist Therapy Partners of North TexasMedical ReceptionistMcKinney, TXFull timep>Therapy Partners of North Texas serves the Greater North Dallas Area with 20+ evidence-based practices that provide comprehensive evaluations, treatments, and prevention strategies for general orthopedic-related injuries to the spine and extremities. We have an opportunity for a Full-Time, In-clinic Virtual Medical Receptionist a smart, software-powered solution where patients are greeted by a friendly, live receptionist through a secure screen.
Medical Center Receptionist Health Services of North Texas, Inc.Medical Center ReceptionistDenton, TXOur Medical Center Receptionists help connect patients with services and medical care by scheduling appointments for our medical providers in multiple clinical sites and provide information about services and programs offered by our agency. Individuals that are successful in this role tend to be customer-focused and detail oriented, possess a true desire to serve a diverse population of patients, have experience in a medical office and/or call center environment, and are preferably fluent in both English and Spanish.
Front Desk Medical Receptionist Virginia HeartFront Desk Medical ReceptionistArlington, TexasPrimary responsibilities include: Provides support to the office manager, physicians, billing, clinical staff and most importantly, the patient. Performs daily chart preparation ensuring that required documentation is prepared in advance to ensure efficient patient flow.
Medical Receptionist CenterWellMedical ReceptionistDallas, TexasAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
Medical Receptionist US Physical Therapy IncMedical ReceptionistCarrollton, TX$14–$16 / hourWe are a team of therapist-owned outpatient physical therapy clinics specializing in general orthopedics and sports medicine, with 25 years of well-qualified therapy experience. As the first point of contact for our patients, you will play a vital role in creating a welcoming environment while ensuring the smooth and efficient operation of our front office.
Medical Receptionist - Part Time Weekend Only American Family Care RowlettMedical Receptionist - Part Time Weekend OnlyRowlett, TexasToday, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient.
Bilingual Medical Receptionist Part-Time US Physical Therapy IncBilingual Medical Receptionist Part-TimeBedford, TXWe are a team of therapist-owned outpatient physical therapy clinics specializing in general orthopedics and sports medicine, with 25 years of well-qualified therapy experience. Your enthusiasm, attention to detail, and commitment to excellent customer service will help ensure smooth operations and positive patient interactions throughout their visit.
Medical Assistant- (Part Time, 20 hrs per week) Fort Worth, TX MH Health Care Services PCMedical Assistant- (Part Time, 20 hrs per week) Fort Worth, TXFort Worth, TexasWith nationwide onsite, nearsite, and network health centers, and virtual primary care, Marathon delivers a value-based model that enhances the healthcare experience for members and providers, while driving meaningful cost savings for plan sponsors. The Medical Assistant is a key component of our care team and works closely with a primary care physician to deliver excellent patient care and provide an exceptional guest experience to our patients.
Bilingual Medical Office Receptionist - CONTRACT - Flower Mound Envision Healthcare CorpBilingual Medical Office Receptionist - CONTRACT - Flower MoundFlower Mound, TXThe benefits offered include but not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs. Company Overview: Envision is a leading national medical group focused on delivering high-quality care to patients when and where they need it most.
Medical Receptionist - Part Time Weekend Only American Family Care IncMedical Receptionist - Part Time Weekend OnlyRowlett, TX$16–$18 / hourmagazine as one of the fastest-growing companies in the U.S., AFCs stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nations leading provider of urgent care, accessible primary care, and occupational medicine.
Float Medical Assistant Marathon Health LLCFloat Medical AssistantDenton, TX$21–$25 / hourWith nationwide onsite, nearsite, and network health centers, and virtual primary care, Marathon delivers a value-based model that enhances the healthcare experience for members and providers, while driving meaningful cost savings for plan sponsors. This role requires collaborating with different teams in diverse settings and is expected to ensure continuity of work processes and procedures and ensure consistency with follow-through and/or transitioning tasks when needed.
Medical Assistant- (Part Time, 20 hrs per week) Fort Worth, TX Marathon Health LLCMedical Assistant- (Part Time, 20 hrs per week) Fort Worth, TXFort Worth, TX$21–$25 / hourWith nationwide onsite, nearsite, and network health centers, and virtual primary care, Marathon delivers a value-based model that enhances the healthcare experience for members and providers, while driving meaningful cost savings for plan sponsors. The Medical Assistant is a key component of our care team and works closely with a primary care physician to deliver excellent patient care and provide an exceptional guest experience to our patients.
Medical Assistant/Receptionist Texas Health Care PLLCMedical Assistant/ReceptionistFort Worth, TX$19–$22 / hourQualified candidates must be able to perform various duties that may include: greeting patients, entering new patient information, checking patients in and out, verifying insurance coverage, answering telephones, scheduling appointments on the computer, collecting co-payments, assisting with procedures, cleaning and stocking rooms, refills, pre-certs, rooming patients, scheduling procedures, lab work, EHR charting, and various clinical duties as needed. Excellent people and telephone skills and familiarity with medical terminology, ICD-10 and CPT coding, and knowledge of HMOs, PPOs, and various insurance plans.
Medical Coder III Integrated Resources, IncMedical Coder IIIDallas, TXRemoteWhat additional IT equipment is required outside of a laptop/headset/mouse/keyboard (i.e., dual monitor & docking station or single monitor & connecting cables – note these will be billed back to Client at cost): Two monitors, one laptop, keyboard, mouse, headset. Must have prior experience with CMS Contract Level Risk Adjustment Data Validation Audits (RADV) and HHS RADV audits and IPM audits.
Medical Front Office Receptionist, Cardiology (Dallas, TX) 99 Healthcare ManagementMedical Front Office Receptionist, Cardiology (Dallas, TX)Dallas, TXThis position is responsible for ensuring smooth front office operations, including handling of a heavy call volume, greeting patients at check in, scheduling appointments, insurance verification, and prior authorizations for office-based cardiac testing. Our services include human resources, accounting, marketing and business development, provider credentialing, and revenue cycle management.
Medical Practice Receptionist HV Mental Health and WellnessMedical Practice ReceptionistHighland Village, Texas$16–$18.50This role includes both patient-facing responsibilities and independent administrative office work, including scheduling, chart preparation, follow-ups, paperwork processing, and office organization. The ideal candidate must be able to multitask, able to process information quickly, take initiative, and work independently with minimal supervision, as there are multiple providers and programs within the practice.
Sr Medical Billing Coding Specialist Catalyst Health GroupSr Medical Billing Coding SpecialistPlano, TXDevelop and coordinate educational and training programs regarding elements of coding such as appropriate documentation, accurate coding, coding trends found during chart reviews, third party audit findings, and annual coding updates. Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
Medical Preauthorization Coordinator Injury Management Organization, IncMedical Preauthorization CoordinatorPlano, TX$20–$22 / hourFull timeFor over three decades our goal has been to provide industry leading customer service to our industry partners and their injured employees a goal that has allowed IMO to grow from Texas into multiple other states including Arkansas, Oklahoma, and New Mexico. Join Injury Management Organization, Inc. as a Full-Time Medical Preauthorization Coordinator (preauthorization experience required) in Plano, TX, where your expertise in handling medical records and knowledge of ICD-10 and CPT codes will make a significant impact.
Medical/Aesthetic MA Pediatric Offices at Willow BendMedical/Aesthetic MAPlano, Texas$18–$22At Pediatric Offices at Willow Bend and Wellness at the Spa, we’re passionate about providing exceptional care for pediatric, allergy and holistic spa patients in a warm, collaborative environment. We’re currently seeking a Clinical/Aesthetic Medical Assistant who is personable, motivated, and eager to grow with a dynamic and compassionate team.
Medical Assistant Humana IncMedical AssistantDallas, TX$44,900–$60,200 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
Certified Medical Assistant Prime Healthcare Services IncCertified Medical AssistantMesquite, TXPrepare and maintain examination rooms, including sterilization and inventory management of medical supplies and equipment. Instruct patients on pre-operative (pre-op) and post-operative (post-op) care and medication regimens.
Certified Medical Assistant Dallas Medical Physician GroupCertified Medical AssistantMesquite, TexasFull timePrepare and maintain examination rooms, including sterilization and inventory management of medical supplies and equipment . Schedule patient appointments, manage charts, and update (E lectronic M edical R ecords ) EHR systems with patient information .
Medical Assistant I - CONTRACT - Melissa Envision Healthcare CorpMedical Assistant I - CONTRACT - MelissaMelissa, TXTakes patient vital signs, medical histories, prepare patient for tests or examinations, explain procedures to patient, assist physician during exam, calling in prescriptions to pharmacies and may prepare patient (depending on location) for X-rays. The Medical Assistant will perform clinical functions such as taking history and vital signs, documenting results, coordinating lab and prescription orders, and assisting with minor office procedures.
Medical Claim Review Nurse Integrated Resources, IncMedical Claim Review NurseDallas, TXRemoteRequired Years of Experience: · Requires a minimum of 2 years of experience in inpatient payment integrity medical claim review including DRG Validation or Itemized Bill Review, including 2 years’ experience working with ICD-10, MS-DRG, AP-DRG and APR-DRG, CPT, HCPCS; or any combination of education and experience, which would provide an equivalent background. Clinical Validation Reviewer: Performs focused clinical reviews of inpatient and outpatient claims to verify that coded diagnoses, procedures, revenue codes, and corresponding reimbursement methodologies accurately reflect the patient’s documented clinical condition, services rendered, and billed charges.