Reviewer I, Medical - Columbia

We are leaders in assisting front-line providers and engaging health care partners to improve care delivery and patient outcomes. · A national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than ...

Comagine Health is seeking a Board-Certified Pediatrician to work as a Medical Reviewer. This position is fully remote within the D.C. area and well suited for physicians looking for flexible, non-clinical work while maintaining an active or reduced clinical practice. · ...

Comagine Health is seeking a Board-Certified Pediatrician to work as a Medical Reviewer in a fully remote position within the D.C. area. · ...

We are leaders in assisting front-line providers and engaging health care partners to improve care delivery and patient outcomes. · ...

The Remote Pro Fee Coding Quality Reviewer shall report directly to the Pro Fee Quality Review Supervisor and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse Federal coding team by ut ...

We are seeking a Medical Review Analyst (RN) with medical review experience to join our team. · Conduct medical record reviews and apply sound clinical judgment to claim payment decisions,Research national and local policy as well as Medicare and/ or Medicaid guidelines for suppo ...

We are seeking an experienced Medical Assistant to support our military communities remotely. The ideal candidate will have a calm voice, eye for detail and heart for service. · ...

Ready to Bring Your Medical Skills Home? Join Our Remote Team Supporting Our Military Communities · A competitive compensation package including a competitive salary, medical benefits, PTO, holiday pay and more. · ...

The Medical Director serves as the senior clinical authority for the CMS Review and Validation Contractor RVC program ensuring compliance clinical accuracy and alignment with Medicare coverage and payment policy. · ...

The Medical Director serves as the senior clinical authority for the CMS Review and Validation Contractor RVC program.This role provides leadership and oversight for all medical review functions ensuring compliance clinical accuracy and alignment with Medicare coverage and paymen ...

The Remote Medical Quality Reviewer shall report directly to the Pro Fee Quality Review Supervisor and will be responsible for accessing and reviewing the medical record documentation. This position performs quality coding reviews via facility EMR. · Required qualifications are ...

This position is an Evergreen position which is a continuous need within our organization. Come join a company that strives for Extraordinary People and Exceptional Performance. Chenega Supply Chain Solutions (CSCS), a Chenega Professional Services Strategic Business Unit company ...

The STGi company seeks a Lead Reviewing Medical Officer for its Law Enforcement Clearance Program at Federal Occupational Health (FOH). The candidate must reside in the Washington DC Metropolitan area. · ...

This position is an Evergreen position which is a continuous need within our organization. Applications will be reviewed as positions become available. · ...

Come join a company that strives for Extraordinary People and Exceptional Performance. Clinicians with backgrounds in Internal Medicine, Family Medicine, Emergency Medicine or Pediatrics tend to be an excellent fit due to their broad diagnostic exposure and experience managing di ...

We are seeking a Contract Medical Reviewer to support the Department of Health and Human Services (HHS), within the Health Systems Bureau (HSB) and its Health Research Services Administration (HRSA), in support of the Countermeasures Injury Compensation Program (CICP). Clinicians ...

This position involves reviewing Medicare Fee-for-Service claims to assess overpayments underpayments and proper payments as determined by Recovery Audit Contractors RACs.RVC Reviewers perform automated and complex reviews of claims including Part A B DMEPOS and Home Health Hospi ...

The Medical Review Manager is responsible for overseeing all medical review activities and quality assurance functions for the CMS Review and Validation Contractor program. · Minimum of 5 years of medical review experience · Minimum of 3 years of experience as a Medical Review Ma ...

The Medical Review (MR) Manager is responsible for overseeing all medical review activities and quality assurance functions for the CMS Review and Validation Contractor (RVC) program. · Manage and oversee medical review operations · Lead and supervise medical review staff to ensu ...

+Job Summary · Transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. · +Manage and oversee medical review operations. · Lead and supervise medical review staff. · Provide clinical expertise for comple ...

Come join a company that strives for Extraordinary People and Exceptional Performance. Chenega Supply Chain Solutions (CSCS) is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department of Health and Human Services (HHS), within the Health Systems ...