Top 893 Physician reviewer Jobs

Physician Reviewer (Hematology / Oncology / ENT / Orthopedics / Radiology / Urology)
TMF Health Quality Institute —Remote
- $10 - $150 an hour
- Contract
- Remote
- Medicine
- BC/BE
- Senior level
Quick Apply
Physician Reviewer-Remote Contract
HireOps Staffing, LLC —Dallas, TX
- $105 an hour
- Full-time
- Remote
- Medicine
- 5 years
- Senior level
- Health insurance
- Dental insurance
Quick Apply
10d
Physician Reviewer-Remote Contract
HireOps Staffing, LLC —Nashville, TN
- $105 an hour
- Full-time
- Remote
- Medicine
- 5 years
- Senior level
- Health insurance
- Dental insurance
Quick Apply
ENT Physician Reviewer | NC License
BHM Healthcare Solutions —Remote
- Part-time
- Remote
- 5 years
- BC/BE
- Senior level
- Flexible schedule
Quick Apply
Physician Reviewer
MedReview —Remote
- $230,000 a year
- Full-time
- Remote
- Medicine
- 5 years
- BC/BE
Quick Apply
Radiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- BC/BE
- Writing skills
- Flexible schedule
Immediate Hiring and Interview for an Onsite Role as a Medical Record Content Reviewer in Harrisburg, PA
CAP Global Works, LLC —Erie, PA
- $45 - $50 an hour
- Urgently hiring
- Hybrid work
- Mid-level
- Office
- 3 years
Quick Apply
Cardiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- BC/BE
- Writing skills
- Flexible schedule
Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)
Dane Street, LLC —New York, NY
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
Quick Apply
Physician Reviewer-Internal, Family, Physical & Rehab, Occupational, Sports, Gen
Dane Street, LLC —California
- Contract
- Remote
- Medicine
- Physical & Rehabilitation Medicine
- Internal Medicine
Quick Apply
Surgical Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- Surgery
- BC/BE
- Flexible schedule
Gastroenterology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- BC/BE
- Writing skills
- English
- Flexible schedule
Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Washington, DC
- Part-time
- Remote
- Surgery
- BC/BE
- Writing skills
- Flexible schedule
Nephrology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- BC/BE
- Writing skills
- Flexible schedule
Board-Certified Physician for Disability Appeal Reviews
Emperion —Remote
- Part-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Neurology
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
Physician - Internal Medicine
Loyal Source —El Paso, TX
- $200 an hour
- Full-time
- CPR Certification
- Medicine
- Microsoft Excel
Quick Apply
Clinical Leader/Assistant Nurse Manager RN (Med/Surg 3N) - NIGHTS
CentraState Healthcare System —Freehold, NJ
- $107,250 - $182,330 a year
- Full-time
- Acute care
- CPR Certification
- Nursing
- 403(b) matching
- AD&D insurance
Physician Reviewer (Part Time)
CareCentrix —Remote
- $150 - $170 an hour
- Part-time
- Remote
- Medicine
- BC/BE
- 3 years
Pediatrician with Neonatology Sub-Specialty Physician Reviewer PRN Remote
BHM Healthcare Solutions —Remote
- Part-time
- Remote
- Medicine
- Doctoral degree
- 5 years
- Flexible schedule
Quick Apply

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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

physician reviewer jobs

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

Physician Reviewer-Remote Contract

Physician Reviewer-Remote Contract

ENT Physician Reviewer | NC License

Physician Reviewer

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

Immediate Hiring and Interview for an Onsite Role as a Medical Record Content Reviewer in Harrisburg, PA

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

Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)

Physician Reviewer-Internal, Family, Physical & Rehab, Occupational, Sports, Gen

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

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

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

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

Board-Certified Physician for Disability Appeal Reviews

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

Physician - Internal Medicine

Clinical Leader/Assistant Nurse Manager RN (Med/Surg 3N) - NIGHTS

Physician Reviewer (Part Time)

Pediatrician with Neonatology Sub-Specialty Physician Reviewer PRN Remote

I want to receive the latest job alert for physician reviewer

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