Medovent Solutions is a nationally recognized healthcare staffing and consulting firm headquartered in Tampa Bay. We are proud to be named one of the Best Places to Work by the Tampa Bay Business Journal, included in the Fast 50 for fastest-growing companies in Tampa Bay, and honored as part of the prestigious Inc. 5000 list of America’s fastest-growing private companies. We are passionate about supporting healthcare organizations and professionals nationwide with expertise, innovation, and integrity.
Opportunity Overview
- Openings: Three
- Schedule: Four 10-hour shifts or five 8-hour shifts, Monday through Friday
- Productivity Expectation: Seven to ten reviews per day
- Environment: Fast-paced and production-focused
Position Summary
Medovent Solutions is seeking experienced Clinical Validators to support clinical and coding validation activities across multiple healthcare systems. These positions focus on hospital-based clinical and coding validation rather than insurance-side review.
The ideal candidate will be a nurse with an inpatient coding credential and direct experience conducting both clinical and coding validation reviews. A strong understanding of cardiac care and Critical Care Unit cases is required due to the volume and complexity of the cases reviewed.
Key Responsibilities
- Conduct concurrent or retrospective clinical and coding validation reviews across multiple healthcare systems.
- Evaluate the medical record to determine whether documented diagnoses are clinically supported by the patient’s condition, treatment, diagnostic findings, and overall clinical picture.
- Validate diagnosis and procedure code assignments against medical record documentation and applicable inpatient coding guidelines.
- Review complex inpatient cases for clinical indicators, treatment patterns, diagnostic criteria, and coding accuracy.
- Perform detailed reviews of cardiac and Critical Care Unit cases.
- Identify unsupported, conflicting, incomplete, or inconsistent clinical documentation and code assignments.
- Clearly document review findings and provide evidence-based rationales for validation determinations.
- Apply sound clinical judgment and coding expertise when evaluating complex or ambiguous cases.
- Collaborate with coding, clinical documentation integrity, quality, and other healthcare professionals as appropriate.
- Maintain an expected productivity level of seven to ten completed reviews per day while meeting established quality standards.
- Adapt to the policies, workflows, and documentation practices of multiple healthcare systems.
- Maintain patient confidentiality and comply with all applicable regulatory, privacy, and organizational requirements.
Required Qualifications
- Active nursing license.
- Active inpatient coding credential.
- Direct professional experience performing clinical validation reviews.
- Direct professional experience performing inpatient coding validation reviews.
- Strong knowledge of inpatient coding guidelines, clinical documentation integrity principles, and clinical validation standards.
- Demonstrated knowledge of cardiac conditions, treatments, procedures, and Critical Care Unit cases.
- Ability to interpret complex medical records, laboratory results, diagnostic studies, treatment plans, and provider documentation.
- Strong critical-thinking, analytical, research, and written communication skills.
- Ability to consistently complete seven to ten reviews per day in a fast-paced, production-focused environment.
- Ability to work independently while supporting multiple healthcare systems and adapting to different workflows.
Preferred Qualifications
- Previous clinical experience in cardiac care, critical care, or a Critical Care Unit.
- Experience reviewing complex, high-acuity inpatient cases.
- Experience working across multiple hospitals or healthcare systems.
- Additional clinical documentation integrity, coding, or auditing credentials.
Medovent Solutions offers an exceptional benefits package including a comprehensive medical/dental/vision plan, a 401(k) savings plan, paid holidays, and vacation pay.
Medovent Solutions is an Equal Opportunity Employer and does not discriminate in its employment practices on the basis of race, religion, sex, color, national origin, age, disability, citizenship, genetic information, veteran status or military service, or any other characteristic protected by federal or Florida law.
