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. ...
Experience as a Peer Reviewer at a CPA firm or 5+ years of recent public accounting firm audit supervisor, manager, or higher experience with interest in becoming a Peer Reviewer. Peer Reviewers execute peer reviews of CPA firms to monitor a CPA firm's accounting and auditing practice to promote...
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...
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. ...
Kelly Science & Clinical is currently seeking a Quality Assurance Document Reviewer for a food manufacturing company south of Dallas. ...
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. ...
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. ...
At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and ensuring adherence to proper billing guidelines. ...
Hello, Please review below the job posting template: Innova Solutions is immediately hiring for a Physician ReviewerPosition type: Full Time/ContractLocation: Remote Duration : 3 (Temp to Perm)As a Physician Reviwer, you will:Description: this position is remote, but must be licensed in TX We are lo...
Do you enjoy researching or know how to find what you're looking for with just a few keywords? Are you the type of person that already knows what someone is saying before they finish their sentence? If so, we have a unique opportunity for you to put your skills to the test!.In this position, you wil...
At HCSC, our employees are the cornerstone of our business and the foundation to our success.We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional develo...
The Staff Appraisal Reviewer – VA is responsible for the review of completed appraisal reports, specifically supporting VA Loans. ...
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!. ...
We are inviting applications for the role of Estimate Reviewer. ...
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...
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...
Hello, Please review below the job posting template: Innova Solutions is immediately hiring for a Physician ReviewerPosition type: Full Time/ContractLocation: Remote Duration : 3 (Temp to Perm)As a Physician Reviwer, you will:Description: this position is remote, but must be licensed in TX We are lo...
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 was designed to optimize the reviewer’s expertise and ...
At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and ensuring adherence to proper billing guidelines. ...
As a Estimate/Desk Reviewers, you will be responsible for investigating, evaluating, and settling commercial auto insurance claims in a timely and accurate manner. ...
You are welcoming, reassuring, and have a passion for providing exceptional customer service.You are a go-to tax expert with 3+ years filing a minimum of 30 federal and state individual tax returns annually.You are an exceptional communicator and enjoy translating complex tax terminology into a lang...
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. ...
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. ...
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!. ...
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...