A company is looking for a Medical Reviewer to analyze and enhance the accuracy of medical records in legal reviews and claims processing.
Key Responsibilities : Review and evaluate medical records for accuracy and compliance with litigation claims requirementsPerform quality reviews of model classifications on medical records and generate performance reportsDelegate tasks to contracted clinical data reviewers to ensure high-quality outputRequired Qualifications : Clinical professionals (RN, LPN, APRN / NP, EMT, PA) or non-clinical professionals with a Bachelor's degree in a relevant fieldMinimum of 5 years of experience in medical record review, coding, or healthcare complianceStrong knowledge of medical terminology and healthcare proceduresExperience with Electronic Health Record (EHR) systemsFamiliarity with Natural Language Processing (NLP) and AI technologies is a plus
Physician Reviewer- Sharp Health Plan | CA Medical License | Per Diem
These may include, but are not limited to, work groups, audits and back-up medical management support for the Chief Medical Officer. Demonstrate effective communication skills, ability to work collaboratively with medical leadership and administration of SHP, medical staff, nurses, and Sharp Hospita...
Medical Reviewer
A company is looking for a Medical Reviewer to analyze and enhance the accuracy of medical records in legal reviews and claims processing. ...
Hybrid (Optometrist) Medical Expert Reviewer Needed
Medical Consultant panel to be an Expert Medical Reviewer to conduct Quality Management Reviews. REMOTE (Optometrist) Medical Expert Reviewer Needed. ...
Senior Medical Coding Reviewer - RN
A company is looking for a Senior Medical Coding Reviewer to minimize fraud, waste, and abuse through medical claim reviews. ...
REMOTE (Optometrist) Medical Expert Reviewer Needed
Medical Consultant panel to be an Expert Medical Reviewer to conduct Quality Management Reviews. REMOTE (Optometrist) Medical Expert Reviewer Needed. ...
Medical Coding Reviewer - LPN RN
A company is looking for a Medical Coding Reviewer I to perform clinical and coding medical claim reviews. ...
Spanish Medical Reviewer
Medical Reviews on life sciences patient facing documents for english into spanish. ...
Medical Claims Reviewer, PACE
A Claims Reviewer is responsible for assisting the Claims Analyst and Supervisor in adjudication of all claims as it relates to San Diego PACE Program. Review medical, professional, and institutional claims as it relates to the PACE line of business. Knowledge of medical terminology, including but n...
Medical Reviewer/Safety Reviewer III
FDA; or Medical Communication which includes writing standard and custom responses to communication requests, in-depth assistance to the medical and Client community by responding to inquiries with medical/scientific information that is more complex and requires more data than is supplied in the pac...
RN - Case Manager - Travel - Eureka, CA - $2,322 per week
TravelNurseSource is working with Next Move Healthcare to find a qualified Case Manager RN in Eureka, California, 95534!. Case Manager RNs to fulfill an assignment in Eureka, California. ...