Conduct objective reviews of IDR/IIDR cases involving healthcare regulatory citations and develop clear, evidence-based written recommendations. Facilitate IDR/IIDR conferences and ensure all documentation complies with CMS and URAC standards.
United States$35 - $42 per hour2-5 yrs expHealthcare
Perform independent clinical reviews of medical records to make objective, evidence-based determinations in accordance with contract requirements. Manage multiple review assignments simultaneously while ensuring all documentation is accurate and submitted within strict contractual deadlines.
