Top 6282 Medical document review Jobs in Remote

Utilization Review Specialist
Ascend Healthcare —Remote
- $75,000 - $82,000 a year
- Full-time
- Remote
- Background check
- LMFT
- Psychiatry
- Health insurance
- Dental insurance
Quick Apply
Antitrust Document Reviewer
Berger Montague PC —Remote
- $90,000 a year
- Full-time
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- Background check
- 5 years
- Writing skills
- Profit sharing
- Commuter assistance
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Remote Retirement Plan Compliance Analyst
FuturePlan —Remote
- $65,000 - $95,000 a year
- Online Application
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- Microsoft Outlook
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Document Review Clerk
Lincare Inc. —Spokane, WA
- $17.13 - $23.00 an hour
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- Computer literacy
- High school diploma or GED
- Quality control
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Medical Writer - Clinical Document Authoring & Review
AuraOne Human Data —Remote
- Remote
- Bilingual
- Mid-level
- US work authorization
6d
Clinical Documentation Specialist (CDI)
Solventum —Remote
- $96,000 - $132,000 a year
- Full-time
- Nursing
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Clinical Data & Records Specialist - Remote
Providenceinhomecareservice —Jacksonville, FL
- $23 - $32 an hour
- Overtime
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- Bilingual
- Google Workspace
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2d
SIU Medical Provider Fraud Investigator
Allstate —Remote
- $60,000 - $92,700 a year
- Remote
- Writing skills
- Mid-level
- US work authorization
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13d
Virtual Assistant - Medical Billing/Credentialing
Lighthouse Psychiatry Brain Health Center —Remote
- Full-time
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- Computer literacy
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Provider Enrollment Coordinator
TeamHealth —Remote
- Full-time
- Remote
- High school diploma or GED
- Organizational skills
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- Paid holidays
- Health insurance
6d
Manager, Document Control and Training
Secura Bio —Remote
- $121,000 - $142,000 a year
- Full-time
- Remote
- Windows
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- 8 years
Medical Reviewer, Coder
J29 Inc. —Remote
- $50,000 - $68,000 a year
- Full-time
- Remote
- 3 years
- Continuous improvement
- US work authorization
- Health savings account
- Health insurance
Quick Apply
8d
Clinical Study Data Reviewer
IUVO BIOSCIENCE OPERATIONS, LLC —Remote
- $60,000 - $74,000 a year
- Remote
- Computer literacy
- Writing skills
- HIPAA
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Document Control & Quality Systems Administrator
Noctrix Health —Remote
- $120,000 - $140,000 a year
- Full-time
- Remote
- 3 years
- Continuous improvement
- Neurology
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1d
Clinical Documentation Specialist
Magicforce —Remote
- $40 - $45 an hour
- Contract
- Remote
- RN License
- Mid-level
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Medical Coder
Optum —Saint Paul, MN
- $20 - $36 an hour
- Full-time
- Remote
- Pass drug screening
- Mid-level
- Windows
- AD&D insurance
- Employee stock purchase plan
13d
Medical Billing Specialist - Digitech - Remote
Sarnova —Remote
- Full-time
- Remote
- Customer service
- Computer literacy
- HIPAA
- 401(k)
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10d
Document Control Specialist
Zone 5 Technologies —Remote
- $68,500 - $93,000 a year
- Remote
- Microsoft Excel
- Data analysis skills
- Mid-level
- Paid holidays
- Health insurance
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1d
Claims Auditor
RiteChoice Rx —Remote
- Full-time
- Remote
- Mid-level
- Continuous improvement
- Travel
- Health insurance
- Dental insurance
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Healthcare Claims Quality Analyst
Integra Partners —Remote
- $24 an hour
- Full-time
- Remote
- Spanish
- English
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply

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Utilization Review Specialist

Ascend Healthcare -
Remote

Quick Apply

Job Details

Full-time
$75,000 - $82,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Professional development assistance
Life insurance

Qualifications

Teamwork
Utilization review
Licensed Clinical Social Worker
Master's degree
Bachelor's degree
Utilization management
Task prioritization
Clinical documentation

Full Job Description

About Ascend Healthcare:

At Ascend Healthcare, we redefine excellence in adolescent treatment by offering diagnostically specific residential and outpatient programs designed for teens aged 12 to 17. From mental health challenges to trauma, substance use, neurodiversity, OCD, and more, we provide a unique, tailored approach that empowers teens and their families to thrive. Based in Los Angeles, California, our innovative therapies, animal-assisted programming, and eco-psychology initiatives create a transformative experience that feels supportive, safe, and like home.

What sets Ascend apart is our commitment to integrated care. We combine evidence-based clinical practices with creative, experiential therapies to help teens develop the skills and confidence to navigate life beyond treatment. Our focus isn’t just on healing—it’s on cultivating growth, resilience, and lifelong success for every client.

Join us in making a real difference. At Ascend Healthcare, our mission to save lives and support families is rooted in compassion, collaboration, and an unwavering dedication to quality care. Together, we create a community where profound change happens—one life at a time.

Ascend Healthcare is searching for patient, compassionate, and caring people looking to work with teens in an Adolescent Residential Treatment Center.

The Utilization Review Specialist is responsible for managing an active caseload of clients at the following Levels of Care: Residential and Partial Hospitalization. S/he acts as a liaison between insurance companies, the client, the client’s family, and the Clinical Team. The Utilization Review Specialist is responsible for gathering required information, effectively case-building, and collaborating consistently with members of the interdisciplinary Treatment Team to ensure optimization of each client’s coverage and benefits. Maintains contact with the clients’ families and keep them updated on current insurance authorization updates, Peer Reviews, and Denials.

JOB DUTIES AND RESPONSIBILITIES

− Complete Initial, concurrent, Peer, and retrospective reviews in a timely manner to ensure continuous coverage.

− Utilize clinical information and knowledge of Medical Necessity criteria to effectively communicate plans of care to insurance case managers, facility staff, and healthcare partners.

− Document all activities in a detailed manner in applicable CRM/EMR

− Collaborate with Clinicians and the multidisciplinary team daily at the Residential Programs in order to obtain necessary clinical documentation for reviews and ensure effective utilization of resources

− Reviews and prepares Appeal documentation (including rationales) to the appropriate entities as indicated

− Coordinate, schedule, and complete Peer-to-Peer and Appeal reviews

− Complete weekly Treatment Team notes and provide updates to the Psychiatrist as requested by the Director/ Manager

− Represents the UR Department in a professional and positive way to other Departments and the company as a whole.

− Consistently demonstrate excellent communication, prioritization, and multi-tasking skills

− Maintains contact with the clients’ families and keep them updated on current insurance authorization updates, Peer Reviews, and Denials

− Participate in weekly Treatment Team and Continuing Care Meetings as appropriate

EDUCATION AND SKILL REQUIREMENTS

− Master’s degree in behavioral health Field

− Current MFT, LCSW, LPCC, PsyD, or PhD in the state of California

− At least 2 years of work experience in the behavioral health field

− CollabMD experience preferred

− Excellent communication skills

− Proficiency with Excel, EMR software, and RCM software preferred

− Organized

Job Type: Full-time

Pay: $75,000.00 - $82,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Professional development assistance
Vision insurance

Education:

Bachelor's (Preferred)

Experience:

Utilization review: 1 year (Preferred)

Work Location: Remote

Quick Apply

Refine Your Search

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