Remote DRG Clinical Reviewer - Physician Leader
MedReview, Inc.
- Remote job
MedReview, Inc. is seeking a highly experienced DRG Clinical Physician Reviewer to join our remote clinical review team in New York. In this role, you will ensure accurate DRG assignment and support evidence-based determinations that directly impact healthcare quality. The ideal candidate holds an MD/DO with active U.S. License and has at least 5 years of clinical practice experience. This position offers the chance to influence healthcare outcomes and work with a mission-driven team. #J-18808-Ljbffr MedReview, Inc.
- ...ambulatory and provider based clinics. This individual will mentor,... ...staff. Must be familiar with reviewing documentation to assign... ...procedures for hospital and physician (professional) services for Inpatient... ...-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM...Remote workWork at officeLocal areaShift work
- A healthcare analytics firm is seeking a highly experienced DRG Clinical Physician Reviewer to join its remote clinical review team. This role emphasizes clinical validation and utilization review to ensure accurate DRG assignment and support healthcare quality. Candidates...Remote job
$134.6k - $230.8k
...workflow technologies. Responsibilities include defining strategies for DRG and bundled payments while collaborating with various teams to enhance operational solutions. The position offers a remote work option and a competitive salary range from $134,600 to $230,800...Remote job$90.87 - $154.33 per hour
...serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Rheumatology- REMOTE Job Description Job Description The Physician Clinical Reviewer is a key member of the utilization...Remote workWork experience placementInternshipWork at officeLocal areaVisa sponsorshipWork visa- A healthcare consulting firm is seeking a full-time remote Peer Reviewer (Non-physician) to provide clinical expertise for comprehensive peer reviews. Candidates must be licensed, actively practicing within their specialty, and have a minimum of 5 years of clinical experience...Remote jobFull time
- Evolent Health LLC is seeking a full-time State Licensed Pain Management Physician to support its growing utilization management team. The Physician Clinical Reviewer will work in a remote environment, ensuring compliance with medical necessity guidelines while reviewing...Remote jobFull time
- ...AI gives federal agency leaders the tools to elevate the... ...AI: As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you... ...for claims review. Make clinical judgment decisions based... ...medical necessity for Physician Office practices, Laboratory...Remote workFor contractorsCasual workWork at officeLocal area
- ...procedural codes and determining the MS-DRG and APR-DRG assignment of in patient... ...necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical... ...Experience with concurrent coding reviews. Knowledge of privacy and security...Remote workWork experience placementWork at officeLocal areaShift work
- RemoteFetch is seeking a Medical Coding Specialist to review and analyze patient medical records for accurate coding and reimbursement.... ...and coding systems. Attention to detail and familiarity with MS-DRG is essential for success in this role. #J-18808-Ljbffr RemoteFetchRemote job
- Optum in Eden Prairie, MN, seeks a full-time coder to manage ICD-10 CM and DRG coding. This role offers a chance to enhance health outcomes while working from home. You will be responsible for adhering to coding standards and ensuring quality performance. The ideal candidate...Remote jobHourly payFull timeWork from home
$23.41 - $41.83 per hour
Optum is seeking a full-time professional coder specializing in Inpatient DRG Coding. The role involves assigning ICD-10 codes accurately and maintaining coding guidelines. Candidates should hold a High School Diploma/GED and a professional coding certification with at...Remote jobHourly payFull time- A healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires extensive experience in coding accuracy, regulatory compliance, and reimbursement...Remote jobFull time
- Humana Inc. is seeking a National Physician Leader based in Austin, Texas, focused on clinical leadership and strategic initiatives in post-acute care. This role... ...model. The position offers competitive compensation, remote work flexibility, and the opportunity to influence...Remote work
- ...Remote, Nationwide – Seeking Physician Leadership Fellow Join the Physician Partnership Where You Can... ...Director. One (1) year Physician Leaders Fellowship program. Graduate of... ...Develop an understanding of the clinical, financial, and regulatory issues impacting...Remote workFull timeLocal areaFlexible hours
- ...Work from Home team. This role offers the opportunity to serve as a clinical resource for hospitals and to resolve denials through peer-to-peer reviews. Qualified candidates must be licensed physicians with a minimum of 5 years of clinical practice experience and board...Remote jobWork from home
$99.3k - $198.7k
...Texas is seeking a Professional Education & Physician Relations Manager to lead physician education programs and manage key opinion leader (KOL) relationships. The role involves... ...degree, substantial experience in MedTech or clinical settings, and strong communication skills...Remote job- Humana Inc. is seeking a National Physician Leader to oversee clinical leadership in home health and post-acute management. This role involves strategic... ...outcomes. The position offers high-level compensation, remote options, and a pathway for clinical leadership career...Remote work
$298k - $409.8k
...caring community The National Physician Leader relies on medical background and reviews health claims, requiring a solid... ...(s). You will provide clinical leadership across home health and... ...executive-level compensation + bonus Remote flexibility with national scope...Remote workFull timeTemporary workShift work- ...Coder to ensure accurate assignment of ICD-10 and DRG codes for hospital inpatient services. This role supports clinical documentation and timely coding for... ...productivity standards. The position allows for remote work with a Monday to Friday schedule. #J-18808...Remote jobMonday to Friday
- Texas Health Institute is looking for a full-time coding professional to perform inpatient DRG Coding, ensuring adherence to coding guidelines. The role offers flexibility for telecommuting from anywhere in the U.S. Ideal candidates should have over 3 years of experience...Remote jobFull time
- ...experienced Medical Coding Specialist to work remotely. The ideal candidate will have a minimum... .... Responsibilities include abstracting clinical information, assigning accurate codes,... ...role is crucial for facilitating accurate DRG-based reimbursement and requires a thorough...Remote job
- A healthcare provider is seeking a Clinical Coding Auditor & Trainer to develop training and... ...programs. The role primarily offers remote work with some travel to New York expected... ...valid clinical license and experience in DRG and Medical Record Audits. This full-time...Remote jobFull time
- A healthcare solutions provider in New Jersey is seeking a Physician Advisor to provide clinical guidance and conduct physician-to-physician reviews. The candidate will support utilization review and ensure adherence to medical necessity criteria. Qualifications include...Remote job
- Stryker Corporation in Eden Prairie, MN, seeks a full-time coding specialist to manage ICD-10 CM and DRG coding for facility services. You'll work 40 hours per week from any location within the U.S., contributing to revenue management in healthcare. With at least 3 years...Remote jobFull time
- Nahse is seeking a Physician - Genomics Section Chief at the Department of Veterans VA Medical Center in San Francisco, CA. This remote position requires strong leadership and clinical skills, focusing on providing comprehensive genetic care to veterans. The successful...Remote job
- ...Additionally, your background must include demonstrated knowledge of: Coding concepts for facility diagnosis and procedure coding and DRG assignment Legal and policy directives pertinent to coding Be familiar with proper reference materials, standards and...Remote workWorldwide
- ...Medical Reviewer For Reasonable Accommodations (Ra) Program Provide independent medical... ...review only (paper file review) Physician (mo/do) Doctor of medicine (md) or doctor... ...progressively responsible post-residency relevant clinical practice experience. Demonstrated...Remote workPermanent employmentTemporary work
- ...Position Overview Remote Description: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment... ...clinical service requests. Participates in the Physician Review Units' appeal process of service denials. Participates...Remote workContract workShift workWeekend work
- ...trusted partner in innovation. Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the Department of Veterans Affairs (VA) . This...Remote jobPart timeFor contractorsCurrently hiringFlexible hours
$88.7 - $98.55 per hour
...through technology, services, and clinical expertise. Our mission is to... ...Responsibilities Acentra is looking for a Physician Medical Reviewer (M.D. or D.O.) (Remote U.S. - Preferred within Tennessee... ...a team of experienced and caring leaders, clinicians, pioneering...Remote workWork experience placementLocal areaDay shift
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