Clinical Documentation Review Nurse

Verse

Clinical Documentation Review Nurse at Verse Medical, reviewing patient documentation for compliance with coverage criteria. Collaborating with product teams and utilizing internal software for productivity improvement.

Posted 5/12/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $70,000 - $90,000 per yearWebsite

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical experienceutilization reviewdocumentation reviewattention to detailstructured workflowsmetrics-driven environmentwritten communication

Soft Skills

fast learning rateability to follow rules consistently

Certifications

RN licenseBSN