Clinical Reviewer


Clinical Reviewer

@ VieMed

Essential Duties and Responsibilities:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. 

  • Performs a variety of systems administration and support tasks.
  • Function as a clinical reviewer to inspect clinical records for the presence of documentation to support the validity of claims data submitted.
  • Discern when missing medical record gaps exist and assist in directing request for additional records.
  • Collaborates with peers and leadership
  • Provides recommendations for action based on reviews of medical records with proper therapy.
  • Monitor’s healthcare documents to ensure compliance before submitting to insurance companies. Checking medical records for appropriate criteria.
  • Understand and comply with all governmental, regulatory and Viemed intake, billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs
  • Documents in computer system the status of referral
  • Reports all concerns or issues directly to Intake Manager or Intake Supervisor
  • Other responsibilities and projects as assigned.



  • Current Professional medical license. (RN, LPN, RT, etc)
  • One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred.
  • Basic understandings of medical insurance benefits
  • Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.
  • Effectively communicate with physicians, patients, insurers, colleagues, and staff
  • Able to read and understand medical documentation effectively.
  • Knowledge and understanding of same and similar DME equipment.
  • Thorough understanding and maintaining of medical insurances company’s regulations and requirements to include but not limited to Medicare and Medicaid.
  • Learns and maintains knowledge of current patient database.
  • Up to date with health information technologies and applications
  • Answers telephone in a polite and professional manner. Communicates information to appropriate personnel and management in a timely manner.
  • Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public.
  • Proficient in Microsoft Office, including Outlook, Word, and Excel
  • Utilizes initiative, strives to maintain steady level of productivity and is self-motivated.
  • Work week is Monday through Friday and candidates will work an agreed upon shift.
  • Possible weekend work or overtime, to include working an on-call rotation schedule.


Access to Protected Health Information (PHI)

  • This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation.
  • Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule.

How to Apply:

Apply online at 

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Location: Lafayette, LA
Date Posted: May 10, 2023
Application Deadline: June 12, 2023
Job Type: Full-time