Top 814 Independent medical reviewer Jobs

Physician Reviewer (Hematology / Oncology / ENT / Orthopedics / Radiology / Urology)
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- $10 - $150 an hour
- Contract
- Remote
- Medicine
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- Senior level
Quick Apply
Chiropractor (Independent Contractor – California Licensed)
Expedient Medicolegal Services —Los Angeles, CA
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Clinical Quality Assurance Coordinator
ExamWorks —Southfield, MI
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Freelance Medical Reviewer, MyHealthTeam
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Dispute Resolution Reviewer III (Healthcare Professional)
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Occupational Medicine -Independent Medical Reviewer
Managed Medical Review Organization —Remote
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Medical Content Reviewer
Ro —New York, NY
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Complex Medical Bill Reviewer
Enlyte —Remote
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PM&R -Independent Medical Reviewer
Managed Medical Review Organization —Remote
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Diagnostic Radiology- Medical Record Reviewer
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Broadway Ventures —Remote
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Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Washington, DC
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Urologist- Independent Medical Reviewer
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Surgical Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
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Endocrinologist - Independent Reviewer for Disability Appeals
Emperion —Remote
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- Part-time
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- Mid-level
- 3 years
- Communication skills
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Cardiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
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Nephrology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
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Gastroenterology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
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- BC/BE
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Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)
Dane Street, LLC —New York, NY
- Remote
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- Mid-level
Quick Apply
Hematology/Oncology, Physician Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- BC/BE
- Writing skills
- Flexible schedule

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Physician Reviewer (Hematology / Oncology / ENT / Orthopedics / Radiology / Urology)

TMF Health Quality Institute -
Remote

Quick Apply

Job Details

Contract
$10 - $150 an hour

Qualifications

Direct patient care
BC/BE
Medical License

Full Job Description

Position Purpose:

Performs advanced (senior-level) work. Provides dissatisfied beneficiaries and/or providers/suppliers the opportunity to present documentation to demonstrate why an appeal should be allowed. Provides a denovo independent second level determination based on the documentation, facts, laws, regulations, and guidelines. Works under limited supervision, with considerable latitude for the use of initiative and independent judgement.

Essential Responsibilities:

Writes a reconsideration decision that is clear and supports the determination made.
Makes sound, independent decisions based on medical evidence in accordance with statutes, regulation, rulings, Centers for Medicare & Medicaid Services (CMS) policy, and local Medicare policy, or other authoritative sources.
Ensures that all appeal issues raised by the beneficiary, representative, and supplier have been addressed.
Provides a fair and impartial decision.
Conducts research using online federal regulations, Medicare Administrative Contractor (MAC) policy, standards of medical practice, CMS contractor manuals, coverage issues manuals, and medical literature to complete an accurate and well-supported decision.
Stays abreast of changes in medical practices, policies and procedures.
Participates in on-going training and education as deemed necessary by results of the company’s Quality Program.

Minimum Qualifications

Education

Doctor of Medicine or Doctor of Osteopathic Medicine degree from an accredited Medical School

License and Certification

Active State license to practice medicine
Board certification

Experience

Five (5) years of clinical or direct patient care

EOE Minorities/Females/Vet/Disability

Job Type: Contract

Pay: $10.00 - $150.00 per hour

Work Location: Remote

Quick Apply

Refine Your Search

independent medical reviewer jobs

Physician Reviewer (Hematology / Oncology / ENT / Orthopedics / Radiology / Urology)

Chiropractor (Independent Contractor – California Licensed)

Clinical Quality Assurance Coordinator

Freelance Medical Reviewer, MyHealthTeam

Dispute Resolution Reviewer III (Healthcare Professional)

Occupational Medicine -Independent Medical Reviewer

Medical Content Reviewer

Complex Medical Bill Reviewer

PM&R -Independent Medical Reviewer

Diagnostic Radiology- Medical Record Reviewer

Radiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Urologist- Independent Medical Reviewer

Surgical Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

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Nephrology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Gastroenterology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)

Hematology/Oncology, Physician Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

I want to receive the latest job alert for independent medical reviewer

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