Medical Review Specialist
Virtual Vocations Inc
Working remotely within the Eastern Standard Time zone, the full-time Medical Review Specialist will evaluate medical records, ensure compliance with regulatory standards, and support clinical documentation improvement initiatives. Key responsibilities Review and analyze medical records for accuracy and completeness Ensure compliance with applicable regulations and standards Collaborate with healthcare professionals to improve clinical documentation Required qualifications Bachelor's degree in a relevant field or equivalent experience Certification in Medical Coding or Clinical Documentation Improvement preferred Experience in medical review or auditing processes Familiarity with healthcare regulations and compliance standards Proficiency in electronic health record (EHR) systems
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Medical Review Specialist in United States vacancy
- ...Medical Review Specialist We are seeking a detail-oriented Medical Review Specialist to join our remote Document Management Team. This role is ideal for individuals with strong organizational skills and a high level of accuracy in reviewing and handling sensitive medical...SuggestedRemote work
TalentBridge
United States2 days ago - ...Paradigm Information Services, Inc. is hiring a Medical Record Review Associate for a remote position. The role involves supporting clinical review activities, interpreting documentation, and maintaining workflow accuracy. Ideal candidates have a clinical background, attention...SuggestedContract workRemote work
Paradigm Information Services, Inc.
New York, NY4 days ago - 2. Clinical experience is a plus if no Medical Info experience PURPOSE Analyzes and summarizes available data and creates / authors responses... ..., up-to-date, balanced, and scientific. As needed, provides review for Promotional Review Board pieces containing relevant medical...Suggested
- ...Avosys Technology is hiring a Remote Registered Nurse - Medical Review Specialist in Texas, responsible for performing clinical reviews and ensuring compliance with Medicare regulations. We offer a competitive benefits package along with no weekend and holiday requirements...SuggestedRemote workShift work
Avosys Technology, Inc.
San Antonio, TX2 days ago - Empower AI is seeking a Medical Review Specialist III in Idaho. This role involves performing comprehensive medical record and claims reviews for Medicare Durable Medical Equipment payment determinations. Qualified candidates must be Registered Nurses with extensive claims...Suggested
- ...firm in the United States seeks an experienced independent consultant for a telework position evaluating medical oncology cases. Responsibilities include reviewing medical records, providing clinical summaries, and engaging in peer communication. Candidates must be Board...Remote jobFor contractors
- ...9 independent contractor. Candidates must hold a California license and have strong negotiation skills. The reviewer will evaluate health claims, provide medical interpretation, and ensure compliance with Concentra's policies and state regulations. This role requires maintaining...Remote jobFor contractorsFlexible hours
- ...allows customization of schedule and caseload. Candidates must hold a valid NJ license. Responsibilities include reviewing health claims, providing medical interpretations, and ensuring compliance with relevant regulations. The role demands board certification, post-graduate...Remote jobFor contractorsFlexible hours
- SeedTrust is looking for a Medical Records Review Specialist to ensure timely access to accurate medical histories for surrogacy and egg donation agencies. In this fully remote position, you'll evaluate patients' medical charts, identify clinical red flags, and communicate...Remote job
- .... This independent contractor role allows for a customized schedule within a Monday to Friday work week. Responsibilities include reviewing health claims and providing interpretations based on clinical guidelines. The ideal candidate should possess a current clinical license...For contractorsRemote workMonday to Friday
- Ambulatory Medical Practices MSO, Inc is seeking a Medical Biller Charge Review and Data Entry Specialist III in Valhalla, NY. This full-time position requires CPC certification and a minimum of 7 years of medical billing experience, with Epic EMR preferred. The role involves...Remote jobFull time
- Brighton Health Plan Solutions seeks a Casualty Bill Review Specialist who will ensure accurate and compliant medical bill review in the New York workers’ compensation environment. The role requires expertise in managing bill review processes and training staff on regulations...Remote job
- Broadway Ventures is looking for a dedicated Registered Nurse (RN) to join our Medical Review team. This remote role involves conducting medical reviews to ensure compliance with clinical guidelines and assessing medical necessity. The ideal candidate will have a strong...Remote jobFull time
- Empower AI is seeking a Medical Review Specialist III to perform Medicare comprehensive medical record and claims reviews. This casual role requires a Registered Nurse with at least four years of experience, focusing on payment determinations for Medicare PART A services...Casual work
- Brighton Health Plan Solutions, LLC is seeking a Casualty Bill Review Specialist to ensure accurate and compliant medical bill review. This remote role includes overseeing bill review processes, compliance with New York regulations, and training staff on relevant requirements...Remote job
- Empower AI is seeking a Medical Review Specialist V to review and analyze Medicare claims. The role requires a Registered Nurse with at least 10 years of clinical experience and minimum seven years of claims knowledge. This is a part-time position focused on ensuring compliance...Part time
- ...best. DESCRIPTION Is it your calling to serve our Nation's Heroes? Avosys is seeking a Registered Nurse - Medical Review Specialist to provide services to the military and their families. EMPLOYMENT WITH AVOSYS Maximize family time...Full timeFor contractorsWork at officeLocal areaImmediate startRemote workMonday to FridayShift work
Avosys Technology, Inc.
United States1 day ago - Performs advanced technical review of Workers’ Compensation medical bills to ensure regulatory and coding compliance under NYS WCB mandates. This role applies advanced coding knowledge (CPC-level) to ensure the appropriateness of billed services, validating CARC and RARC...
- ...flexible scheduling within a Monday - Friday workweek, allowing customization of caseloads. Responsibilities include reviewing health claims, providing medical interpretations, and ensuring compliance with Concentra's standards. Candidates must possess a NJ license and be...Remote jobFor contractorsMonday to FridayFlexible hours
- Une entreprise de staffing réputée recherche un Spécialiste en Informations Médicales pour réaliser des revues de littérature pour l'équipe des opérations médicales. Ce rôle exige une expertise en recherche clinique et des compétences en communication exceptionnelles. Les...
- An established industry player is seeking a Medical Review Nurse to join their dynamic team in Phoenix. This role involves reviewing and adjudicating medical claims, ensuring compliance with industry standards, and working collaboratively with healthcare providers. The...Remote job
$45 - $50 per hour
...Registered Nurse Medical Review Specialist A Hospitality Spotlight client supporting a federal agency is seeking a Registered Nurse to assist with medical case reviews and occupational health assessments. This role plays an important part in reviewing employee medical...Hourly payWork at office$248.24k
...Agency Addiction Services and Supports, Office of Title Medical Specialist 2 (Blaisdell ATC) Occupational Category Health Care, Human/... ...advisor to multi-disciplinary team; provide consultation/peer review to other physicians/clinicians; supervise nurse practitioners...Permanent employmentFull timeWork at officeRemote workAfternoon shiftNew York State Civil Service
Orangeburg, NY4 days ago$123.91k - $247.82k
...People With Developmental Disabilities, Office for Title Medical Specialist 1 Occupational Category Health Care, Human/Social Services... ...as junior practicing specialists. Duties include:• Obtains, reviews, updates and records individual information such as medical...Permanent employmentFull timePart timeWork at officeLocal areaRemote workWeekend workNew York State Civil Service
Queens Village, NY3 days ago- ...Medical Interview Specialist Global TekMed Holdings is dedicated to simplifying the intricate processes faced by Veterans through innovative... ...Schedule Veterans for medical interview appointments Review all supporting medical evidence provided by the Veteran....Work at officeRemote work
Global TekMed
Las Cruces, NM9 days ago - ...Job Title: Medical Coordination Specialist Reports To: Residential Manager Primary Purpose of Job A Medical Coordination... ...follow up, collect all paperwork, submit to nurse for review. • Communicate with families regarding medical appointments...
Adults & Children with Learning and Developmental Disabiliti...
Roslyn Heights, NY1 day ago $80k - $100k
...Medical Specialist POSITION Full-Time REPORTS TO Client Advocacy Supervisor DEPARTMENT Operations: Client Experience PURPOSE The Medical... ...and the Victim Compensation Fund (VCF). This role gathers, reviews, and processes medical records, collaborates cross-functionally...Full timeWork at officeLocal areaBarasch & McGarry
New York, NY1 day ago- ...Medical Information Specialist At Dendreon, we're transforming the battle against cancer with personalized immunotherapy. Our flagship product... ...and Nursing Services) on all lot failure notifications, reviews and follow-up communications with HCPs. Key activities include...Work experience placementFlexible hoursNight shift
Dendreon Pharmaceuticals
Seal Beach, CA5 days ago - ...| 40 hours total Essential Job Functions Specialized Medical Specialist tasks: Make medical appointments for consumers. Arranges... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.Permanent employmentFull timeSeasonal workMonday to FridayNight shift
ICL
Brooklyn, NY5 days ago - ...analysis and investigation of authorization requests for specialized medical/surgical/outpatient procedures in an expeditious and accurate... ...and route request for services that require medical review to appropriate team member(s). Facilitate communication with...Full timeShift work
Advantasure
Detroit, MI5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Review Specialist. Be the first to apply!
Related searches
- patient monitor technician United States
- medical insurance specialist United States
- hca United States
- health care assistant no experience United States
- patient care technician no experience United States
- medical information specialist United States
- medical review specialist United States
- clinical support assistant United States
- health care assistant hospital United States
- patient care technician pct United States