Average salary: $66,041 /yearly
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$18 - $19 per hour
...MUST HAVE Knowledge of CPT, ICD-9/10 and HCPCS codes along with commonly used concepts and practices in Workers Compensation medical bill review/auditing . Prepares and compiles medical provider bill data for Workers Compensation clients.
The successful candidate...
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Full time
...Description
Healthcare Administrative Assistant - Medical Review/Program Integrity Coordinator
Dallas, TX
(Hybrid schedule with 2 days onsite)
@Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high...
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...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that delivers care, aided by technology to... ...notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and...
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Full time
Work experience placement
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Afternoon shift
...Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules,...
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Minimum wage
Full time
Local area
Flexible hours
...Position Summary
Working from instructions and pre-established guidelines, under general supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered based on state/URAC guidelines in accordance with...
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...and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive...
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Full time
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Description
Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within the constraints of your own schedule. The choice is yours, work...
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We are seeking a dedicated and detail-oriented individual to join our team as a Medical Bill Review Specialist. In this role, you will play a crucial part in ensuring the accuracy and efficiency of medical provider bills while maintaining high standards of quality assurance...
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...balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the... ...contractor.
JOB SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation and decisions about...
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...Job Description
Job Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/or...
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Full time
Local area
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...Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business. #experienceTTEC
What You'll be Doing
Do you have...
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ezURS.com Inc., has an ongoing need for Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation,and auto and liability\
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Opportunity to...
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...Elevate is searching for additional remote contract review staff to assist with commercial and residential claims quality file reviews. Hours are flexible within certain time parameters.
There are part time and full time contract positions. Compensation is on a 1...
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...coding/quality/ billing / reimbursement issues as a second level reviewer. Assesses accuracy, quality, and compliance of diagnosis,... ...of prebill/post bill reviews and pending accounts
* Performs medical record reviews to determine coding accuracy of diagnosis codes,...
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Hourly pay
Holiday work
Local area
Relocation bonus
Flexible hours
...meetings.
~3, 12 hour shifts. Saturday, Sunday, Monday.
JOB SUMMARY
The Utilization Review Registered Nurse (RN) provides a clinical review of cases using medical necessity criteria to resolve the medical appropriateness of inpatient and outpatient services....
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Shift work
Weekend work
Sunday
Saturday
...for a non-clinical opportunity for work/life balance needs yet want to stay clinically active?
Join us as an Medical Director to conduct chart and peer reviews from your home office.
where you'll be empowered to make a difference in the lives of patients by...
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Full time
Part time
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Monday to Friday
...Mandarin Language Document Reviewer
Employment Type: Full Time, Mid-Level
Department: Legal
As a CGS Mandarin Document Reviewer you will play a key role in supporting various aspects of the company's litigation portfolio including eDiscovery activities, workflow...
Holiday work
Full time
Relief
Flexible hours
...the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent... .... The physician reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals...
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...This position is responsible for planning and executing quarterly continuous credit file examination of assigned reviewable units or risk segments. The Senior Credit Risk Review Officer will perform and lead activities that evaluate commercial loan t Risk, Officer, Credit...
$76.96k - $83.2k
...POSITION SUMMARY
The Demand Review Nurse Auditor is responsible for conducting a comprehensive review of the submitted documentation to ensure that all services billed are supported by the medical records. The Nurse Auditor will oversee processing of the Demand Liability...
Full time
Local area
