Physician Reviewer

Join Med Review as a Physician Reviewer in Remote - Nationwide.

Key Responsibilities

• Perform DRG Clinical Validation reviews to ensure diagnoses are accurate, supported, and compliant.

• Evaluate medical records, diagnostic findings, and treatment plans using evidence-based guidelines.

• Produce clear, concise clinical summaries and determinations within established turnaround times.

• Identify opportunities for improved documentation, coding accuracy, and cost containment.

Requirements

• MD/DO required with active, unrestricted U. S License.

• Board Certification required (ABMS or AOA).

• 5+ years of clinical practice experience.

• REQUIRED: Strong utilization review experience (UM, DRG Validation, or clinical documentation review).

Benefits & Compensation

• Salary: $230K

Work Schedule

• Full-Time position.

• On-site position.

This position offers competitive compensation. Work with Med Review in Remote - Nationwide.