A company is looking for a Project Reviewer for the Cyber Security Program in the USA Market. ...
As part of the Insurance Services team, the primary responsibility of the Premium Audit Reviewer is to perform a thorough review of Workers Compensation insurance premium audits. ...
A company is looking for a Dispute Resolution/Audit Reviewer. ...
Disclaimer: Prior experience in the DME Respiratory field is a prerequisite for this role.Additionally, you must have experience receiving and reviewing patient records in a medical setting.Please ensure you read the full job description before applying.A leading medical device company, based in Pla...
A company is looking for a Physician Reviewer in Infectious Disease. ...
The Director position requires a self-driven individual who can complete high quality reviews while meeting strict deadlines.The individual must possess excellent written and verbal communication skills, outstanding analytical abilities, and effective review capabilities.The Director will be respons...
As a result, newly hired reviewers will begin after clearance is received. Social Security Representative Payee Reviewer. The Reviewer works extremely independent of others in the Organization, travels to many locations across Texas, conducts interviews of representative payees and beneficiaries, re...
The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. ...
Mandarin Language Document Reviewer. 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 management, and litigation support. CGS is seeking an experienced Mandarin Document Reviewer...
This is a part time, 1099 position.Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism.Reviews take on average 1 to 1.Each review is meant to evaluate the quality of the finished construction.Driving t...
Our reviewers are compensated on a per-case basis as a 1099 independent contractor. The physician reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client-specific policies, nationally recognized evidence-based ...
Responsible for the initial receipt and subsequent review of submissions made to the Architectural Control Committee (ACC) for approval as mandated by the Las Colinas Declaration (“Declaration”).Understands and has working knowledge of the Declaration (including supplementary declarations), Article ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. Contact us today about joining our panel of specialty reviewers!. ...
E'S with FDOT experience in design and analysis of stormwater management and drainage systems, flood studies, bridge hydraulics and scour countermeasures.This role will be a 50% split between time on review of FDOT access and drainage connection permits and 50% in a design role on highways, flood mi...
The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. ...
Execute test plans, scenarios, scripts or procedures.Test system modifications to prepare for implementation.Document software defects, using a bug tracking system, and report defects to software developers.Identify, analyze and document problems with program function, output, online screen or conte...
Clinical Reviewer - Pediatric Rheumatologist Licensed. We have established highly efficient administrative workflows and processes that allow our physician reviewers the ability to optimize their reviewing resources and focus on the core clinical decision-making process. Our effective review process...
This role is within the Credit Department under the Real Estate Valuation Services (REVS) division at Veritex Community Bank, reporting to the Chief Residential Appraiser.The REVS division handles all real estate appraisals, environmental assessments, equipment appraisals, and business validation se...
Function as a clinical reviewer for HHS risk adjustment project reviewing medical record documentation for the presence of validating information that support claims data submitted by providers. ...
Clinical Reviewer - Medical or Surgical Oncologist Licensed. We have established highly efficient administrative workflows and processes that allow our physician reviewers the ability to optimize their reviewing resources and focus on the core clinical decision-making process. Our effective review p...
Financial Reviewer-Central Intake. ...
Use knowledge of coding and compliance guidelines to identify potential coding/quality/ billing / reimbursement issues as a second level reviewer. Creates clear, concise and accurate review findings and recommendations in written review reports that will be used for advising and educating Coders, an...
Our reviewers are compensated on a per-case basis as a 1099 independent contractor. Our Physician Reviewers need to have strong experience in analyzing the application of CPT codes in combination with usual and customary state fee schedule reductions across multiple jurisdictions with an in-depth un...
Remote Risk Adjustment Clinical Reviewer. Function as a clinical reviewer for HHS risk adjustment project reviewing medical record documentation for the presence of validating information that support claims data submitted by providers. ...
We have an ongoing need for Document Reviewers. Document Reviewers will review documents for complex litigation matters using an electronic review platform to code for relevancy, confidentiality, and privilege. ...