Clinical Documentation Review Nurse

Job Description: 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 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 Strong written communication skills DME, Medicare regulations/surgical dressing reviews preferred but not required Benefits: We cover 100% of your health insurance premium and provide access to high-quality dental and vision insurance plans for you and your dependents. 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. 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.