医生审核员 - 德克萨斯州反证文件工作（骨科手术）
Physician Reviewer - Texas Counter Affidavit Work (Orthopedic Surgery)
这份远程工作机会允许你在一周内自定义你的日程和案件数量，同时保持客户要求的处理时间。我们的审核人员以每案为单位进行结算，作为1099独立承包商。
候选人必须是达拉斯或休斯顿地区的骨科外科医生，并持有德克萨斯州执照，有证词/作证/反诉文件的工作经验。候选人还必须能够使用德克萨斯州公证人，或能随时使用在线公证服务。
职位概述
我们的医师审核人员需要在多个司法管辖区分析CPT代码的应用，结合通常和标准的州费用表折扣，具备对CPT代码及与之相关的州特定费用的深入理解。
主要职责和责任：
- 审核所有医疗记录并根据客户特定的标准或其他公认的基于证据的标准回答客户提出的所有问题
- 确保决定的理由清晰、简洁，并包含足够的支持性文件以证明该决定
- 识别、评估并使用当前的标准和资源，如国家、州和专业协会指南以及同行评审文献，以支持在审核中做出合理和客观的决策和理由；由于样本量有限，避免使用案例研究、队列等来做出决策
- 及时将审核中使用的任何标准副本随报告一起提供
- 在截止日期和时间前返回案件
- 保持适当的资质和州执照，以及执行工作所需的任何特殊认证或要求（德克萨斯州执照是必需的）
- 参加所有必要的入职和培训
- 执行其他指派的任务，包括识别和回应质量保证问题、投诉、监管问题、作证、出庭或审计
请注意：为了双方的安全，请注意Dane Street永远不会通过短信进行面试或要求候选人支付购买设备的费用。
福利
我们提供丰厚的带薪假期、优秀的福利包和具有竞争力的薪资。为远程办公空间提供苹果设备和媒体津贴。通过我们强大的培训计划快速上手！如果你想在一个令人兴奋、快节奏的环境中工作，这里就是你的选择。
查看英文原文
This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.
Candidates must be an Orthopedic Surgeon in the Dallas or Houston area and hold a TX License, with testimony/deposition/counter affidavit work experience. Candidates must also have access to a TX notary or be readily available for online notaries.
JOB SUMMARY
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 understanding of CPT codes and the state-specific fees associated with them.
MAJOR DUTIES AND RESPONSIBILITIES:
- Reviews all medical records and addresses each question posed by the client utilizing client-specific criteria or other nationally recognized evidence-based criteria
- Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
- Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
- Provides copies of any criteria utilized in a review with the report in a timely manner
- Returns cases on or before the due date and time
- Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job (TX license is Required)
- Attends all required orientation and training
- Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits
PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.
Benefits
We offer generous Paid Time Off, excellent benefits package and a competitive salary. Apple equipment and media stipend is provided for remote work space. Come up to speed quickly with our strong training program! If you want to work in an exciting, fast-paced environment where you can provide meaningful contributions, then we encourage you to apply.
ABOUT DANE STREET:
A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful, astute forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers. We provide customized Independent Medical Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.
Originally posted on Himalayas