Physician Reviewer/Advisor for Independent Medical Exams (IME)

Employment Type: Contract Location Type: Remote Workplace: Remote Language: English Department: IME - Dominique Published: 2025-07-02

Position Overview

As a Physician Reviewer/Advisor for Independent Medical Exams (IME), you will leverage your clinical expertise to review insurance appeals, prospective, and retrospective claims. You will provide interpretations on the medical necessity of services rendered by other healthcare professionals, ensuring compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care.

Major Duties and Responsibilities

• Review all medical records and address client-posed questions using client-specific criteria or other nationally recognized evidence-based criteria.
• Ensure the rationale for determinations is clear, concise, and adequately supported by documentation.
• Identify, critique, and utilize current criteria and resources (e.g., national, state, and professional association guidelines, peer-reviewed literature) to support sound and objective decision-making.
• Refrain from using case studies or cohorts for decision-making due to limited sample sizes.
• Provide copies of any criteria utilized in a review with the report in a timely manner.
• Return cases on or before the due date and time.
• Make telephone calls as mandated by state and/or client specifics.
• Maintain proper credentialing, state licenses, and any special certifications or requirements necessary for the job.
• Attend all required orientation and training.
• Perform other duties as assigned, including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.

Requirements

• Board certification required.
• Active practice required.

Benefits

• Robust opportunity for supplemental income.
• Schedule flexibility and predictable work hours – you choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability.
• No doctor/patient relationship is established, and no treatment is provided; these are advisory-only opinions.
• Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise.
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services.
• Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal.
• Dane Street supports all referral processes, scheduling, case preparation, medical record preparation, transcription services, client communications, and ensures the quality and timeliness of all reports and report delivery.

Application Instructions

• PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason, including the purchase of equipment.