Physician Reviewer
Nextstep Technology Inc
Job Description
Job Description
Description:
Primary Job Functions:
The Physician Reviewer shall help answer questions and resolve complex medical record issues that may arise during the performance of this contract.
Requirements:Work Experience:
The Physician Consultant shall have experience in the health insurance industry, a utilization review firm, or health care claims processing organization:
• Interpreting clinical documentation
• Practicing medicine for a minimum of three (3) years as a licensed and board-certified Doctor of Medicine or Osteopathy;
In addition to this experience, the Physician Consultant must have knowledge of the Medicare program and be capable of effectively interpreting and resolving disagreements regarding clinical guidelines.
Vacancy posted 11 days ago
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