Physician Reviewer - Orthopedic Surgeon

Position Overview

This is a telework opportunity for an Orthopedic Surgeon to provide medical record reviews. The role offers flexibility in scheduling and caseload management, provided client-mandated turnaround times are met. Physician Reviewers are compensated on a per-case basis as a 1099 independent contractor.

Requirements

• Location: Dallas or Houston area, Texas.
• Licensure: Must hold a valid Texas (TX) License.
• Experience:
  • Strong experience in analyzing the application of CPT codes in combination with usual and customary state fee schedule reductions across multiple jurisdictions.
  • In-depth understanding of CPT codes and associated state-specific fees.
  • Testimony/deposition/counter affidavit work experience.
• Notary: Access to a TX notary or readily available for online notaries.
• Credentialing: Maintain proper credentialing, state licenses, and any special certifications or requirements necessary for the job.

Responsibilities

• Review all medical records and address client-posed questions using client-specific or nationally recognized evidence-based criteria.
• Ensure review rationale is clear, concise, and adequately supported by documentation.
• Identify, critique, and utilize current criteria and resources (national, state, professional association guidelines, peer-reviewed literature) to support sound and objective decision-making.
• 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.
• Attend all required orientation and training.
• Perform other duties as assigned, including responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.

Application Instructions

• Security Awareness: Please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.

Company Information

About Dane Street: Dane Street is a fast-paced, Inc. 500 Company with a high-performance culture, seeking insightful, astute, and 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 appropriate medical determinations as part of the claims management process.

Benefits:

• Generous Paid Time Off (PTO)
• Excellent benefits package
• Competitive salary
• Apple equipment and media stipend provided for remote work space.
• Strong training program

Work Environment:

• Exciting, fast-paced environment where meaningful contributions are valued.

Additional Details

• Employment Type: 1099 Independent Contractor
• Workplace: Remote
• Language: English (en)
• Published: 2024-02-15