Senior Medical Review Specialist

Medical Review SpecialistOur organization is seeking a highly skilled Medical Review Specialist to assess and interpret customer needs, requirements and medical records.About the Role:Review medical claims for medical necessity by assessing customer needs, requirements and medical records.Ensure compliance with relevant laws, regulations and policies.Key...

Medical Reviewer -- ATTN: Medical Fresh GradsResponsible for reviewing and analyzing documents pertaining to an individual, and composing accurate and complete reviews of records, either by paraphrasing or quoting the original documents, utilizing the Client guidelines.ResponsibilitiesCoordinates with the Production Supervisor and other Reviewers with regard...

Medical Reviewer openings:* Medical Coder* Medical Editor* Medical Utilization Reviewer* Medical Virtual Assistant* Medical Virtual ScribeJob Description:Responsible for reviewing and analyzing documents pertaining to an individual, and composing accurate and complete reviews of records, either by paraphrasing or quoting the original documents, utilizing the...

Job Description:">The Peer Review Specialist plays a vital role in ensuring the highest quality of care for our clients. This individual will conduct thorough reviews of client charts, including progress notes, psychiatric evaluations, and medical histories, to determine medical necessity for continued care.">Key Responsibilities:">">Conduct peer reviews and...

**Job Description**As a certified medical coder, you will play a vital role in reviewing and abstracting medical documentation to ensure accurate coding. This is a permanent, full-time position that offers mid-senior level seniority.About the RoleYou will be responsible for assigning medical codes by reviewing medical documentation according to Tenet...

Medical Reviewer - Wound Care SpecialistAt Limitlessli, we specialize in recruiting high-caliber remote staff for dynamic healthcare facilities. We connect clients with highly qualified professionals, offering tailored services to meet their unique business needs.The Opportunity:We seek a skilled Medical Reviewer focused on wound care, specializing in...

Job Title: Clinical Utilization Review SpecialistJob Description:We are seeking a skilled Clinical Utilization Review Specialist to assess and interpret customer needs, requirements, and medical records. The ideal candidate will review medical claims for medical necessity, ensuring that services meet the highest standards of quality and care.Required Skills...

Job SummaryWe are seeking a skilled Risk Adjustment Coder to join our team. The ideal candidate will be responsible for reviewing medical records to identify, code, and validate diagnoses based on risk adjustment models such as HCC (Hierarchical Condition Categories).

We are seeking a seasoned medical content specialist to join our team. As a key member of our healthcare operations, you will be responsible for conducting research and identifying relevant medical coding and billing documents to inform our automated claims editing solution.This role requires a high degree of expertise in medical coding and billing, as well...

Job Opportunity:We are seeking certified coders to review medical records and assign accurate ICD-10-CM codes according to risk adjustment guidelines.The ideal candidate will be responsible for analyzing medical records, ensuring accuracy, compliance, and completeness in coding to support optimal reimbursement and risk score accuracy.Key...