Remote Medical Director - Orthopedic Claims & Coding
Sacbar
- Remote job
Optum, part of UnitedHealth Group, seeks a Medical Director to lead the Focus Claims Review program. You will oversee claim reviews, engage with providers on coding, and help shape coding procedures. This role offers remote work from anywhere in the U.S. with a Monday–Friday schedule and comprehensive benefits. Qualifications include an active medical license, ABMS/AOA orthopedic board certification, and 5+ years of orthopedic clinical experience. Strong MS Office skills are required. #J-18808-Ljbffr Sacbar
$248.5k - $373k
...000/yearJob Area: Medical & Clinical OperationsCompany... ...part of the Focus Claims Review team at Optum, the Medical Director provides... ...flexibility to work remotely * from anywhere... ...claims for correct coding using clinical record... ...(AOA) in Orthopedic Surgery, with fellowship...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- ...Group's Optum division seeks a Medical Director to lead the Focus Claims Review program, overseeing clinical coding reviews and provider... ...and board certification in Orthopedic Surgery, with 5+ years of post... ...in MS Office. You can work remotely from anywhere in the U.S. with...Remote jobClaimsFlexible hours
$248.5k - $373k
....00/yearJob Area: Medical & Clinical OperationsCompany... ...part of the Focus Claims Review team at Optum, the Medical Director provides... ...implementation of coding and procedures.You... ...flexibility to work remotely * from anywhere... ...certification in Orthopedic Surgery through the...Remote workClaimsMinimum wageFull timeWork experience placementLocal areaMonday to FridayFlexible hours- ...part of UnitedHealth Group, seeks a Medical Director to lead the Focus Claims Review team and oversee medical... ...The role requires board-certified orthopedic spine expertise, medical licensure,... ...and extensive clinical experience. Remote work from anywhere in the U.S. is available...Remote jobClaims
- ...services company seeking a Medical Director to lead the Focus Claims Review program. You will... ...with providers, and coding guidance while aligning with... ...standards. The role offers remote work from anywhere in the... ..., board certification in Orthopedic Surgery, and extensive...Remote jobClaimsMonday to Friday
$225k - $275k
...Overview The Client Medical Director (CMD) is a key member of the Go To... ...The CMDs role is to serve as a coding and medical payment policy... ...Have in-depth knowledge of claims, claims adjudication, medical... ...is selected. #LI-JB1 #LI-Remote #director #J-18808-Ljbffr...Remote workClaimsWork at officeImmediate startWork from home$248.5k - $373k
...- $373,000.00Job Area: Medical & Clinical OperationsCompany... ....As part of the Focus Claims Review team at Optum, the Medical Director provides leadership,... ...the flexibility to work remotely * from anywhere within the... ...professional claims for correct coding using clinical record...Remote workClaimsMinimum wageWork experience placementWork at officeLocal area$79.72k - $128.12k
...of the beneficiary, as coded and reported by the hospital on its claim, matches both the attending... ...in the beneficiary’s medical record. Responsible for... ...conjunction with the Associate Director and Director of DRG... ...Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery...Remote workClaimsFull timeTraineeshipWork experience placementLocal area$386.5k
...0 - $579,500/yearJob Area: Medical & Clinical OperationsCompany... ....The National Medical Director of Orthopedic and Musculoskeletal Programs... ...enjoy the flexibility to work remotely * from anywhere within the... ...accurateEvaluate clinical, quality and claims data to identify...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- Optum is seeking a Medical Director to provide leadership for the Focus Claims Review program. You will oversee medical services, participate in provider discussions... ...high-quality claim reviews. The role offers remote work from anywhere in the U.S. with a strong emphasis...Remote jobClaims
- ...health outcomes through care, technology, and data. The Medical Director will provide leadership for the claims review program, including provider discussions, appeals and in coding development. You’ll work remotely from anywhere in the U.S. with a flexible schedule, a...Remote jobClaimsFlexible hours
- ...Office-Based Orthopedic Coder Company MedHQ, LLC, is... ...-10-CM, CPT, and HCPCS codes for orthopedic surgeries... ...completeness to support correct claim submission and reduce... .... Knowledge of medical terminology, anatomy,... ...time off This is a remote position. Applicants...Remote workClaimsFull timeTemporary workWork at officeWork visaFlexible hours
- ...Medical Director ARC Group has an immediate opportunity for a Medical Director... ...! This position is 100% remote working eastern time zone... ...policies, reviewing medical claims, and promoting evidence-based... ...Basic understanding of medical coding conventions Ability to effectively...Remote workClaimsPermanent employmentFor contractorsWork experience placementLocal areaImmediate start
- ...reviewing and submitting claims to payors, performing... ...regulations affecting coding and reimbursement by... ...deficiencies through charge/medical record review and... ...errors. Approved Remote States: Arizona, California... ...highly preferred. Orthopedics experience a plus. Why...Remote workClaims
$100 per hour
...and local laws. Job Title Medical Director Location CP Rochester... ...clinic hours of operation (some remote work possible). Summary/... ...bills Evaluation and Management coding which meets CMS standards and clearly justifies each claim for service. Participates in...Remote workClaimsHourly payContract workWork experience placementWork at officeLocal areaMonday to FridayFlexible hours- ...PRN Physician Coding Specialist II, Orthopedic Clinic - Sheffield Village Under the... ...payments of outstanding claims. What You Will Do: Analyzes... ...Experience: 2+ years Of medical billing experience (... ...Entry Level Travel: No Remote Work: Hybrid Job...Remote workClaimsDaily paidWork experience placementRelief
$25 per hour
...Revenue Cycle Specialist - Orthopedic Care Icon Health is... ..., and appeal payer claim denials through structured... ...all reimbursements for medical services or supplies... ...of their practice) and coded accurately (procedures... ...directive This position is REMOTE Pay Rate = $25/Hr...Remote workClaimsContract workHome office$174.07k - $374.92k
Medical Director (Medical Policy & Operations) Join to apply for the Medical Director... ...a Fortune 6 company? This is a remote Work at Home position and can be... ...Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues,...Remote workClaimsHourly payFull timeTemporary workLocal areaWork from homeFlexible hours$248.5k - $373k
...part of UnitedHealth Group, seeks a Medical Director to lead the Focus Claims Review team. You will oversee... ...medical criteria. The role supports remote work from anywhere in the U.S., with... ...package. Active MD/DO license and orthopedic board certification, plus 5+ years...Remote workClaims- Responsibilities Remote opportunity Independence Physician Management... ...The Coder- Cardiology and Orthopedics provides coding services and support to... ...working knowledge of medical terminology, anatomy, CPT-4... ...quality, or revenue to mitigate claim denials, expedite...Remote workClaimsLive inWork at officeLocal area
- ...Optum is seeking a Medical Director to lead the Focus Claims Review program, ensuring quality and coordination... ...DO with an active license, ABMS/AOA orthopedic board certification, and 5+ years of... ...experience, with strong MS Office skills. Remote work within the U.S. #J-18808-...Remote workClaims
- ...Optum is seeking a Medical Director to lead, organize, and direct the claims review program across its global health platform... ...and services. The role supports remote work from anywhere in the U.S.... ...will guide claims reviews with orthopedic spine expertise, ensure compliance...Remote workClaims
- ...This role is responsible for claim follow-up, payment posting, and... ...needed Collaborate with coding and front-end teams to resolve... ...(e.g., neurosurgery, orthopedics, or similar) Knowledge of denial... ...-time position In-office, Remote or Hybrid We are an equal...Remote workClaimsFull timeLive inWork at office
$60k - $65k
...detail-oriented and motivated Medical Billing Manager to join our growing... ...unpaid or denied insurance claims while ensuring accurate and... ...comfortable working independently in a remote yet collaborative environment.... ...collaboratively with billing, coding, and administrative teams to...Remote workClaimsFlexible hours- ...background in clinical review, medical necessity denials, payer... ...effective resolution of denied claims, supporting revenue recovery efforts... ...plans. Experience managing remote and/or offshore teams (Philippines... ...of ICD-10, CPT, and HCPCS coding as they relate to clinical justifications...Remote workClaims
- ...experienced Accounts Receivable/ Medical Billing Manager to lead our in... ...operations. You will oversee claims submission, follow-ups,... ...managed Medicare, CPT/ICD-10 coding, and collaboration with clinical... ...salary, bonuses, and a flexible remote work setup. #J-18808-Ljbffr...Remote workClaimsFlexible hours
- ...of clinical audits and denials related to inpatient medical necessity and/or level of care, and coding. The CM-CD reviews patient medical records and all other... ...including precertification, filing deadlines, claims processing, coverage issues and referral requirements...Remote workClaimsWork experience placementWork at office
$18 - $32 per hour
...offer care from more than 900 medical providers in 65 medical specialties... ...have the flexibility to work remote* as you take on some tough... ...modules, clinic charting systems, claims processing systems, or other... ...of medical terminology, coding, COB payment, and prior authorization...Remote workClaimsHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday- ...those operations into orthopedics. We are building the team... ...not be plugging in codes in a silo. You will own... ...) within NCCI edits so claims go out clean. Own documentation... ..., 1 to 2 years of medical coding experience,... ...dental, and vision ~ Remote, full-time position ~...Remote jobClaimsFull timePrivate practiceWork at office
- ...an experienced Revenue Cycle Coding Manager. The Revenue Cycle Coding... ...of revenue cycle operations, medical coding standards, and team... ...environment. This is a hybrid remote role Monday - Friday with equipment... ...with charge capture, medical claims, medical billing, and end-to-...Remote workClaimsMonday to Friday
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