• Conduct independent, evidence-based file reviews. • Review patient records and related documentation in alignment with clinical guidelines. • Provide objective, high-quality reports within turnaround timelines. • Maintain compliance with URAC, HIPAA, and internal quality standards.

• Conduct comprehensive and objective medical chart reviews with honesty and integrity. • Produce determinations that are clear, concise, and well-supported by evidence. • Follow MMRO’s review templates, ensuring all required elements are complete and accurate. • Communicate findings in a professional manner using appropriate language and grammar. • Complete assigned reviews within the specified deadlines. • Respond promptly to communications from MMRO staff. • Review and comply with corporate training materials and review standards. • Be receptive to constructive feedback from MMRO’s Medical Director, Associate Medical Director, and Clinical Staff. • Contribute ideas for process improvement and quality enhancement.

• Primary review of all premium audits (WC, GL, Garage, etc). • Audit types include: Phone, Mail, Physical, Remote Physical, Virtual • Independently determine if each audit adequately addresses the Afirm QC requirements, standard manual rules, state-specific rules, and client-specific requirements. • Validate time charges with audit detail and/or explanations. • Manage inventory of audits to review. • Meet production requirements and expectations as provided. • Other duties as assigned.

• Writing Indie Rock album reviews • Assigned roughly five articles per month • Consistency and adherence to deadlines