Remote Rheumatology Clinical Reviewer Appeals Expert
$90.87 - $154.33 per hourPrime Therapeutics
Prime Therapeutics is seeking a Physician Clinical Reviewer specializing in Rheumatology. This remote position involves timely medical reviews of service requests, collaboration with physicians, and maintaining compliance with clinical guidelines. A successful candidate will hold a DO, MBBS, or MD with a minimum of 5 years clinical experience. The potential pay ranges from $90.87 to $154.33 per hour, based on experience and skills. #J-18808-Ljbffr
$90.87 - $154.33 per hour
...Prime Therapeutics is seeking a Physician Clinical Reviewer for Rheumatology to join their remote utilization management team. In this role, you will review service requests, collaborate with physicians, and ensure adherence to clinical guidelines. Candidates must have...Remote workHourly pay$50 per hour
...A leading healthcare staffing firm is seeking an experienced RN Clinical Reviewer to work remotely. You'll conduct detailed medical-legal reviews and appeals while maintaining high accuracy and integrity. Key qualifications include a New York State RN license and at least...Remote work- ...is seeking a part-time Physician Medical Reviewer (M.D. or D.O.) to conduct independent medical service appeal reviews primarily remotely, with a preference for candidates located... ...certification, and at least five years of clinical practice experience. Benefits include...Remote workPart time
- ...A leading healthcare service provider in the United States is looking for a Clinical Appeals Reviewer. This fully remote position involves reviewing appeal cases and making independent decisions based on medical evidence. Candidates must be licensed healthcare professionals...Remote work
- ...All Jobs Clinical Appeals Reviewer (Licensed Healthcare Professional) Clinical Appeals Reviewer (Licensed... ...Healthcare Professional) • Fully Remote • United States Full-time Description... ...as needed. Serves as a subject matter expert. Mentors and/or trains staff. May conduct...Remote workFull timeContract workPart timeFor contractorsWork at officeLocal areaNight shift
$90.87 - $154.33 per hour
...future of pharmacy with us. Job Title : Physician Clinical Reviewer - Rheumatology - REMOTE Job Description Key member of the utilization management... ...Provides clinical rationale for standard and expedited appeals. Provides assistance and acts as a resource to...Remote workWork at officeLocal areaVisa sponsorshipWork visa- ...A healthcare solutions company seeks an Acute Coding Appeals Specialist to manage medical coding appeals and denials. Candidates should... ...facility coding, and hold an active coding certification. This remote position requires knowledge of various coding systems and the...Remote work
$90.87 - $154.33 per hour
...Physician Clinical Reviewer – Rheumatology (REMOTE) Key member of the utilization management team, providing timely medical review of service requests... ...Provides clinical rationale for standard and expedited appeals. Assists and serves as a resource to Initial...Remote workHourly payWork at officeLocal areaVisa sponsorshipWork visa- ...Managed Resources, Inc. is seeking a part-time DRG Appeals Review Nurse to analyze denied MS-DRG and APR-DRG claims. This remote role requires a Registered Nurse (RN) license and expertise in clinical appeals and coding. The Nurse will be responsible for reviewing denials...Remote workPart time
$40 per hour
...healthcare technology company in the United States seeks medical experts to evaluate AI chatbots. Responsibilities include presenting... ...medical degree. This role offers flexibility and the opportunity to work remotely, with pay starting at $40+ per hour. #J-18808-LjbffrRemote workHourly pay- Zotec Partners is looking for an AR Specialist to manage claims follow-up in a remote working environment. The position entails identifying billing issues, processing appeals, and resolving correspondence issues. Candidates should have AR follow-up experience, a high school...Remote jobWork at office
- ...ensuring compliance with TRICARE regulations. This role involves reviewing online appeals, organizing case files, and collaborating with a medical... ...diploma and at least 2 years of relevant experience, with remote work requirements including a stable internet connection. A...Remote job
- ...intelligence company located in New York is looking for a Clinical Auditor to perform clinical reviews and audits on medical records, ensuring compliance... ...responsible for documentation and reporting within the appeals process, contributing to continuous improvement...Remote job
- Brighton Health Plan Solutions is seeking a Clinical Appeal and Grievance Nurse to conduct clinical and benefit reviews in a production-driven environment. The role requires... ...regulatory requirements. This position is remote and emphasizes independence and accountability...Remote job
$100 per hour
...A healthcare consulting company is seeking a Sr. Clinical Recruiter to join their Medical Consultant panel as an Expert Medical Independent Reviewer. This remote position requires Nurse Practitioners with at least 20 hours of direct patient care monthly, specifically...Remote work- A healthcare services company is seeking a remote Physician Clinical Reviewer specializing in Rheumatology. The role involves reviewing medical necessity service requests and collaborating with healthcare providers. Candidates must have a DO, MBBS, or MD with over 5 years...Remote work
$90.87 - $154.33 per hour
...A national health services provider is seeking a Physician Clinical Reviewer for remote work. This role requires extensive experience in medical review, providing timely evaluations of service requests. Candidates must have a Doctor of Osteopathy, MBBS, or MD and at least...Remote work$90.87 - $154.33 per hour
A progressive healthcare organization is seeking a Physician Clinical Reviewer in Rheumatology. This remote role involves evaluating service requests, collaborating with healthcare providers, and ensuring compliance with medical review guidelines. Ideal candidates will...Remote workHourly pay$90.87 - $154.33 per hour
...Prime Therapeutics is seeking a Physician Clinical Reviewer specializing in Rheumatology to join their remote utilization management team. This role involves reviewing complex clinical cases, interfacing with healthcare professionals, and ensuring compliance with medical...Remote workHourly pay$90.87 - $154.33 per hour
...A leading healthcare company is seeking a Physician Clinical Reviewer in a remote role in Montgomery, Alabama. The ideal candidate will review medical service requests and interact with physicians and healthcare staff. Significant experience in clinical review, excellent...Remote work- ...seeking a Hospital Inpatient Coding Specialist to review inpatient medical records and assign appropriate... ...proficiency in coding guidelines are required. The position may involve remote work and offers a collaborative environment with clinical specialists. #J-18808-Ljbffr...Remote work
- ...This is a remote/work from home position * This is a remote/work from home position * Overview Codes all requested Inpatient medical... ...guidelines. Abstracts, codes and assigns necessary demographic and clinical data elements required Uses 3M and/or TruCode encoder to ensure...Remote workWork from home
$56k - $94k
...A healthcare coding company is seeking a Hospital Inpatient Coder for a remote position. The role involves reviewing clinical documentation and accurately coding conditions and procedures using ICD-10 and PCS Diagnosis codes. Candidates must have at least 5 years of medical...Remote work- ...A leading healthcare provider is seeking a Medical Coder for a remote position in Albuquerque, NM. The role involves reviewing and assigning diagnostic and procedure codes for inpatient rehab, ensuring coding accuracy and compliance with regulations. Candidates should...Remote work
- ...Coder to assign codes for medical diagnoses and procedures. This remote role requires certifications and offers opportunities for... ...collaborating with healthcare teams to ensure accurate coding and reviewing accounts throughout the stay for updates. Competitive benefits...Remote work
- ...A leading healthcare provider is seeking a Certified Coding Specialist to work 100% remotely. The role involves reviewing inpatient clinical documentation for accurate coding assignments, utilizing strong knowledge in ICD-10-CM and ICD-10-PCS codes. The ideal candidate...Remote work
- ...A healthcare system in the mid-Atlantic seeks a dedicated individual to work fully remotely in health information management. The role involves coding and abstracting inpatient medical records, requiring an Associate's degree and 1-3 years of experience. Applicants should...Remote work
- ...organization in Granger, Indiana, seeks a medical coder responsible for reviewing and coding medical records. This role includes assigning DRGs,... ...preferred. A commitment to quality healthcare is vital, and remote work opportunities are available across several states. Join a...Remote work
$18 - $34 per hour
...A healthcare leader is seeking a Medical Coder to work remotely in Quincy, Massachusetts. The role involves accurately assigning ICD-10 diagnosis codes, performing billing tasks, and ensuring compliance within the Ambulatory Surgical Center setting. Ideal candidates will...Remote workHourly pay- ...code professional services for inpatient and outpatient care. This full-time remote position requires knowledge of coding standards and relevant certifications. Responsibilities include reviewing documentation, assigning ICD-10 and CPT codes, and ensuring timely billing....Remote workFull time
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