Remote Medical Case Prep Specialist (Inpatient Review)
APPRISEMD LLC
- Remote job
APPRISEMD LLC is seeking a highly skilled medical professional who is not currently in practice to help prepare inpatient cases for utilization review. MD (or equivalent) level training is required but current Board Certification, USMLE completion and state licensure are not required. Foreign trained physicians are welcome; you must be eligible to work in the U.S. as we do not sponsor visas. You must reside in the U.S. This remote, part-time role focuses on weekends. #J-18808-Ljbffr APPRISEMD LLC
- ...and adults annually through inpatient crisis services, 24-hour help... ...is seeking an Utilization Review Specialist , who will be responsible for... ...portal, review patients medical record via EMR to ensure criteria... ...& follow authorization for Case Management Services...Remote workMedicalLocal area
$34.84 per hour
...Inpatient Coder UW Medicine Enterprise Records... ...- Fridays ~100% Remote Position... ...billing Analyzes the medical record to assign... ...reimbursement Reviews patient records... ...to assure proper Case Mix Group (CMG) assignment... ...Certified Coding Specialist (CCS), Certified...Remote workMedicalHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayShift workDay shift$55k - $70k
...are looking for a Utilization Review (UR) Specialist in Boca Raton, FL... ...benefits package, including medical, dental, and vision insurance... ...prior UR & clinical experience. Remote hires and applicants without... ...expectations. Communication & Case Management Maintain clear...Remote workMedicalFull timeWork at office$22 per hour
...Case Review Specialist/Medical Assistant STGi is currently seeking a Case Review Specialist/Medical Assistant to support our Federal Occupational Health (FOH) contract in Rockville, MD. Position Type: Onsite-Hybrid Telework schedule to follow after probationary...Remote workMedicalContract work- ...seeking an experienced Orthopedic Surgeon to conduct comprehensive reviews of clinical cases as an independent contractor. This telework opportunity allows for schedule flexibility, where you will review medical records, prepare clinical summaries, and provide objective...Remote workMedicalFor contractors
- ...2026-08-10Universal Health Services is seeking an Inpatient Coder to ensure DRG accuracy and timely coding of... ...the CDI team, Coding Manager, Business Office and Case Management.This remote role requires strong medical terminology knowledge, hospital coding experience,...Remote workMedicalWork at office
- ...Remote Authorization SpecialistThis role manages insurance... ..., concurrent reviews, verifying benefits, obtaining Single Case Agreements, and managing... ...network payersBuild the medical necessity case using ASAM... ...experience as a UR/authorization specialist at the PHP and IOP...Remote workMedical
- ...Working remotely in a full-time capacity, the Behavioral Health Utilization Review Specialist will manage the authorization of treatment through... ...five years of experience in Case Management/Utilization... ...Knowledge of ASAM guidelines and medical terminology Familiarity...Remote workMedicalFull time
- ...experienced and detail-driven Utilization Review Specialist, the full-time remote position will manage a caseload of 5... ...50-75 patients, authorizing 15-25 cases daily while ensuring timely... ...and continuing-stay reviews to assess medical necessity and ensure compliance with...Remote workMedicalFull time
- ...Utilization Review Specialist The Utilization Review Specialist plays a critical role in ensuring... ...services provided to patients are medically necessary, efficient, and compliant with... ...healthcare providers, insurance companies, and case managers to facilitate timely approvals...Remote workMedical
- ...seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA... .... This is a fully remote or office/home hybrid position... ...information to ensure medical necessity and compliance of... ...new and ongoing authorization cases. Collaborate and communicate...Remote workMedicalWork at officeFlexible hours
$50k
...Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with... ...reviews and coordinate urgent/expedited appeals Staff individual cases with medical doctors as required Maintain compliance with all standard...Remote workMedical- ...Utilization Review Specialist | Remote | Full-TimeBanyan Treatment Centers is seeking an experienced and... ...billing teams to resolve outstanding case issues, support discharge planning, and... ....Comprehensive benefits including medical, dental, and vision insurance; whole and...Remote workMedicalTemporary work
- ...Utilization Review Specialist The primary purpose of the Utilization Review... ...EMRs, and creating cases for presentation. Specific Responsibilities... ...high school training in the medical field, the insurance field... ...check. Satisfactory drug screen Part Time Remote Role...Remote workMedicalPart timeWork at officeFlexible hours
- ...-being. Our benefits include: Medical Coverage - Three new BCBSAL medical plans... ...About the Role: The Utilization Review Specialist plays a critical role in ensuring that... ...healthcare providers, insurance companies, and case managers to facilitate timely approvals...Remote workMedicalPart time
$22 - $25 per hour
...populations. As a tech-enabled medical group, we deliver whole-... ...high medical needs. Primarily remote work with 2‑3 onsite visits... ...practitioner and Community Engagement Specialist with delegated tasks.... ...participating in systematic case reviews and consulting with nurse...Remote workMedicalFull timeWork experience placementLocal areaWork from homeFlexible hours- ...populations. As a tech-enabled medical group, we deliver whole-... ...position primarily allows for remote work; however, it includes 2... ...and Community Engagement Specialist with delegated tasks Collaborates... ...participating in systematic case reviews and consulting with nurse...Remote workMedicalFull timeWork experience placementLocal areaWork from homeFlexible hours
- Nationwide Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical necessity and guideline alignment. You will... ...90-day in-office training, the position offers remote work from home options. #J-18808-Ljbffr...Remote jobMedicalWork at officeWork from home
$25 per hour
...populations. As a tech-enabled medical group, we deliver whole-... ...position primarily allows for remote work; however, it includes 2... ...and Community Engagement Specialist with delegated tasks Collaborates... ...participating in systematic case reviews and consulting with nurse...Remote workMedicalFull timeWork experience placementLocal areaWork from homeFlexible hours- ...NeighborHealth’s SCO RN UM Reviewer role is based in East Boston within the Senior Care Options... ...service authorization needs to ensure medical necessity aligns with CMS standards and... ...The role requires collaboration with RN Case Managers and the Medical Director to support...Remote workMedical
$22 - $25 per hour
...populations. As a tech‑enabled medical group, we deliver whole‑... ...position primarily allows for remote work; however, it includes 2... ..., and Community Engagement Specialist with delegated tasks. Collaborate... ...participating in systematic case reviews and consulting with nurse...Remote workMedicalHourly payFull timeWork experience placementLocal areaWork from homeFlexible hours$22 - $25 per hour
...populations. As a tech‑enabled medical group, we deliver whole‑... ...position primarily allows for remote work; however, it includes 2... ..., and Community Engagement Specialist with delegated tasks. Collaborate... ...participating in systematic case reviews and consulting with nurse...Remote workMedicalFull timeWork experience placementLocal areaWork from homeFlexible hours$29.62 - $45.31 per hour
...Coordinate and execute the review and research functions required... ...resources to support the review (Medical Policies, KMS, Benefit Grids,... ...Critically assess and prepare all cases for RN/MD review of coverage (... ...provider resolutions, etc.) Remote Work This position offers 1...Remote workMedicalMinimum wageFull timeWork experience placementLocal areaShift work- Aptive is seeking a Medical Record Technician - Inpatient Coder to join their remote team. The role involves ensuring accurate and timely inpatient facility coding, supported by extensive review and assignment of medical codes according to VA standards. The ideal candidate...Remote jobMedical
- ...AIP is looking for a Case Processing Specialist to work in Brownsville, TX. The... ...and/or training related to reviewing law enforcement... ...paperwork, seven-day supply of medications, property, and valuables before... ...natives from one of the most remote and harshest environments...Remote workMedicalContract workFor contractorsWork at officeLocal area
- ...FTE: 1.000000 Summary: Reviews medical record documentation to assign... ...the MS-DRG and APR-DRG for inpatient encounters. Ensures proper coding... ...the Clinical Documentation Specialist Team. Education: Tech/... ...time (Tuesday - Saturday) REMOTE (Dade/Broward/Palm Beach...Remote jobMedicalFull timeShift work
- ...Inpatient Coding Specialist Join Our Team and Earn a $5,000 Sign-On Bonus! Schedule... .... Job Location Type: Remote At Lifepoint Health, we... ...95% accuracy on quality reviews and assigned productivity standards... ...with physicians, nurses, medical staff, and hospital...Remote jobMedicalTemporary workPart timeReliefRelocation packageFlexible hours
$58 - $63 per hour
A healthcare staffing agency is hiring an Inpatient Clinical Documentation Integrity Specialist for a 12-month remote contract. The role focuses on reviewing medical records for accurate coding and compliance, requiring risk adjustment coding experience and relevant certifications...Remote jobMedicalHourly payContract work- ...compassion. As a world-renowned medical and research center, we strive to... ...career! JOB SUMMARY The Coding Specialist III is responsible to review and code inpatient and outpatient University of Texas... .... Experience working in a remote environment required for PRN Coders...Remote workMedicalFull timeRelief
- Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday... ...part in ensuring services are medically necessary, appropriately... ...experience in utilization review, case management, or behavioral...Remote workMedicalFull timeMonday to FridayFlexible hours
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