Remote Medical Director - Orthopedic Surgery Claims & Coding
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- Remote job
UnitedHealth Group's Optum division seeks a Medical Director to lead the Focus Claims Review program, overseeing clinical coding reviews and provider discussions. The role requires an active medical license and board certification in Orthopedic Surgery, with 5+ years of post-residency experience, plus proficiency in MS Office. You can work remotely from anywhere in the U.S. with a flexible schedule; the team emphasizes compliance training and collaboration with physicians, nurses, and other #J-18808-Ljbffr Tnafp
$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 Surgery5+ years of...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$248.5k - $373k
...00/yearJob Area: Medical & Clinical OperationsCompany... ...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- ...UnitedHealth Group, seeks a Medical Director to lead the Focus Claims Review program. You will... ...engage with providers on coding, and help shape coding... ...procedures. This role offers remote work from anywhere in the... ...license, ABMS/AOA orthopedic board certification, and...Remote jobClaimsMonday to Friday
- ...services company seeking a Medical Director to lead the Focus Claims Review program. You will... ...with providers, and coding guidance while aligning... ...standards. The role offers remote work from anywhere in... ...board certification in Orthopedic Surgery, and extensive clinical...Remote jobClaimsMonday to Friday
$248.5k - $373k
...3,000.00Job 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... ...in Neurological Surgery through the...Remote workClaimsMinimum wageWork experience placementWork at officeLocal area$79.72k - $128.12k
...the beneficiary, as coded and reported by the hospital on its claim, matches both the... ...the beneficiary’s medical record.... ...with the Associate Director and Director of DRG... ...venture outpatient surgery centers throughout... ...Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung...Remote workClaimsFull timeTraineeshipWork experience placementLocal 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
- ...Office-Based Orthopedic Coder Company MedHQ... ...serves Ambulatory Surgery Centers (ASCs), Surgical... ..., CPT, and HCPCS codes for orthopedic... ...to support correct claim submission and... .... Knowledge of medical terminology, anatomy... ...This is a remote position. Applicants...Remote workClaimsFull timeTemporary workWork at officeWork visaFlexible hours
- ...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
- ...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
- ...those operations into orthopedics. We are building... ...be plugging in codes in a silo. You will... ...specific and global surgery modifiers (25, 59,... ...NCCI edits so claims go out clean. Own... ..., 1 to 2 years of medical coding experience,... ...dental, and vision ~ Remote, full-time...Remote jobClaimsFull timePrivate practiceWork at office
$248.5k - $373k
...0.00 - $373,000.00Job Area: Medical & Clinical OperationsCompany... ...member of a team of medical directors, for the overall quality, effectiveness... ...the flexibility to work remotely * from anywhere within the U... ...Board Certification in Orthopedic Surgery or Neurosurgery through the...Remote workMinimum wageWork experience placementLocal areaWeekend work$61k - $101k
Job Family: General Coding Travel Required: Up to 10%... ...must be proficient in medical coding and have experience... ...action to resolve the claim based on payer... ...full time and is 100% remote. Duties and Responsibilities... ...on inpatient/outpatient surgery, clinic, emergency room...Remote workClaimsFull timeTemporary workFlexible hours- ...Manager Reports to: Director of Facility operations Location: Remote MedHQ, LLC, is... ...serves Ambulatory Surgery Centers (ASCs),... ...of billing and coding professionals, providing... ...submission of claims, payment posting,... ...Certification in medical coding (e.g., CPC,...Remote workClaimsFull timeWork visaFlexible hours
- ...Angeles is looking for a Medical Coder with experience in Surgery experience. The... ...on accurate coding for surgical and related... ...helping ensure clean claims, reliable... ...This position is a remote Monday - Friday. CPC... ...Responsibilities:• Orthopedic Surgical Coding, Surgical...Remote workClaimsMonday to Friday
- Dane Street, LLC is seeking a Physician Reviewer for orthopedic cases in Dallas, TX. This telework role allows flexibility in scheduling... ...and experience in deposition work. Reviewers will analyze CPT codes for the application of reductions across jurisdictions, maintain...Remote jobClaims
$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
...Medical Director Optum is a global organization that delivers care, aided... ...the flexibility to work remotely * from anywhere within the U... ...prior authorizations for spine surgery Document clinical review... ...Board Certification in Orthopedic Surgery or Neurosurgery through...Remote jobMinimum wageWork experience placementLocal areaWeekend work- Concentra, Inc. is seeking a Board Certified Orthopedic Surgeon for a telecommute medical review role. This is a 1099 independent contractor position reviewing health claims, providing medical interpretation, and making decisions in line with Concentra Physician Review...Remote jobClaimsContract workFor contractorsMonday to Friday
- Concentra seeks an experienced Board Certified Orthopedic Surgeon for our medical reviewstream division. This telecommute, 1099 independent contractor... ...requires an NM license. Responsibilities include health claim reviews, medical interpretation, and determination of service...Remote jobClaimsFor contractorsMonday to FridayFlexible hours
- Concentra is seeking a Board Certified Orthopedic Surgeon to join our medical review stream as a telecommute independent contractor. You will evaluate health claims, provide medical interpretation, and determine service appropriateness in line with Concentra policies and...Remote jobClaimsFor contractorsMonday to FridayFlexible hours
- Concentra, Inc. seeks an experienced Board Certified Orthopedic Surgeon for our medical reviewstream division. This telecommute role allows you to customize... ...appeals, with responsibility for reviewing health claims and ensuring compliance with Concentra policies and #J-1...Remote jobClaimsContract workFor contractorsMonday to Friday
$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- UnitedHealth Group is seeking a Medical Director to lead the Focus Claims Review program. This role oversees medical services coordination, provider discussions... ..., Optum, and other providers. The position offers remote work from anywhere in the U.S. #J-18808-Ljbffr...Remote jobClaims
$270k - $330k
...California or otherwise can sit remotely. The Vice President, Medical Director serves as the clinical leader for... ...workers' compensation claims operations in conjunction with the... ...Rehabilitation, Emergency Medicine, Orthopedic Surgery, Neurology, Trauma Surgery, or related...Remote workClaimsWork experience placementWork at office- UnitedHealth Group's Optum unit seeks a Medical Director to lead the Focus Claims Review program, overseeing medical... ...across reviews. You can work remotely from anywhere in the U.S. The position... ...DO license and ABMS/AOA vascular surgery board certification, plus at least...Remote jobClaims
- Optum, part of UnitedHealth Group, seeks a Medical Director to lead the claims review program and oversee medical services quality and coordination.... ...providers, guiding clinical criteria and policy development. Remote work is available nationwide within the U.S. The...Remote jobClaims
- UnitedHealth Group is seeking a Medical Director to lead the Focus Claims Review program, ensuring quality and coordination... ...appeals, and policy guidance, with remote work flexibility across the U.S.... ...certification in neurological surgery, and 5+ years of brain/spine...Remote jobClaims
- ...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
$248.5k - $373k
...global health care organization, seeks a Medical Director for the Focus Claims Review team. You will lead medical claim reviews... ...ABMS/AOA board certification in General Surgery, with 5+ years of clinical experience. This is a remote role within the United States, with a...Remote jobClaims
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