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National Provider of IME and Medical Peer Review Services
Board Certified Physician Reviewers - Vascular Surgery - Florida License
Location
Florida
Posted
110 days ago
Salary
0
Seniority
Mid Level
Job Description
Board Certified Physician Reviewers - Vascular Surgery - Florida License
Dane Street
Dane Street is seeking experienced Board-Certified Vascular Surgeon to join our growing team of expert clinical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical cases and provide objective, evidence-based medical opinions. This is a telework opportunity that allows you to customize your schedule while working as a 1099 independent contractor. Your primary responsibilities will include reviewing medical records, preparing clear and concise clinical summaries, participating in peer-to-peer discussions when appropriate, and responding to specific questions from our clients related to vascular surgery care. Join a team that values your clinical judgment and commitment to improving the quality, accuracy, and consistency of healthcare assessments. Your expertise plays a vital role in supporting high-quality, defensible medical determinations.
Job Requirements
- MD or DO with completion of an accredited vascular surgery residency/fellowship
- US Board Certification in vascular surgery
- Current, unrestricted Florida medical license
- Minimum of 5+ years of clinical vascular surgery experience
- Ability to attend all required orientation and training sessions
- Maintains appropriate credentialing, state licensure, and any certifications required to perform the role
Benefits
- Independent consultant role offering schedule flexibility and predictable work hours
- Ability to choose case types and workload based on your availability
- No doctor–patient relationship established; no treatment is provided — all reviews are advisory only
- Streamlined case flow through a user-friendly online work portal
- Dane Street manages all administrative processes, medical record organization, and communications
- Fully prepared cases with organized medical records and applicable clinical guidelines
- Initial training provided, along with ongoing support and a dedicated point of contact
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Board Certified Physician Reviewers - Vascular Surgery
Dane Street, LLCA fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful 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 Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Dane Street is seeking experienced Board-Certified Vascular Surgeon to join our growing team of expert clinical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical cases and provide objective, evidence-based medical opinions. This is a telework opportunity that allows you to customize your schedule while working as a 1099 independent contractor. - Reviewing medical records - Preparing clear and concise clinical summaries - Participating in peer-to-peer discussions when appropriate - Responding to specific questions from clients related to vascular surgery care Join a team that values your clinical judgment and commitment to improving the quality, accuracy, and consistency of healthcare assessments. Your expertise plays a vital role in supporting high-quality, defensible medical determinations. Qualifications - MD or DO with completion of an accredited vascular surgery residency/fellowship - US Board Certification in vascular surgery - Current, unrestricted Florida medical license - Minimum of 5+ years of clinical vascular surgery experience Requirements - Ability to attend all required orientation and training sessions - Maintains appropriate credentialing, state licensure, and any certifications required to perform the role - Independent consultant role offering schedule flexibility and predictable work hours - Ability to choose case types and workload based on your availability - No doctor–patient relationship established; no treatment is provided — all reviews are advisory only - Streamlined case flow through a user-friendly online work portal - Dane Street manages all administrative processes, medical record organization, and communications - Fully prepared cases with organized medical records and applicable clinical guidelines - Initial training provided, along with ongoing support and a dedicated point of contact
Coding Coordinator
University of IowaLocated on a tree-lined campus on the Iowa River in Iowa City, Iowa, the University of Iowa is the state’s oldest institution of higher education and one of t
University of Iowa Health Care’s Professional Coding Division (PCD) is seeking a Coding Coordinator. As a Coding Coordinator in PCD, you will supervise a core group of medical coding staff including providing training, scheduling, assigning, and evaluating work. This position will oversee a primary/specialty care coding team within PCD. This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via ZOOM from the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location. University of Iowa Health Care—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.® WE CARE Core Values: - Welcoming - We have an environment where everyone has a voice that is heard; that promotes the dignity of our patients, trainees, and employees; and allows all to thrive in their health, work, research, and education. - Excellence - We aim to achieve and deliver our personal and collective best in the pursuit of quality and accessible healthcare, education, and research. - Collaboration - We encourage collaboration with healthcare systems, providers, and communities across Iowa and the region, as well as within our UI community. We believe teamwork - guided by compassion - is the best way to work. - Accountability - We behave ethically, act with fairness and integrity, take responsibility for our own actions, and respond when errors in behavior or judgment occur. - Respect - We create an environment where every individual feels safe, valued, and respected, supporting the well-being and success of all members of our community. - Empowerment - We commit to fair access to research, health care, and education for our community and opportunities for personal and professional growth for our staff and learners. Position Responsibilities: - Supervise a team of medical coders and collaborate with team members who may be primarily remote. - Assign work, provide direction and feedback, and coach to ensure departmental goals are achieved. - Monitor physician and/or facility coding and billing activities performed through QA and productivity reviews to ensure compliance with all rules and regulations in a timely manner. Provide education and training when deficiencies are identified, or new processes are implemented. - Prepare reports to ensure quality and productivity expectations are being met. - Ensures that ICD-10-CM, CPT and/or HCPCS codes are assigned in accordance with UI Health Care policies, official coding guidelines, payor policies, and regulations. - Incorporate initiatives that improve compliance and reduce risks to the institution. - Act as a liaison for the department coding activities to the clinical department administration, physicians and other health care practitioners, Patient Financial Services (PFS), Health Care Information Systems (HCIS), Joint Office for Compliance (JOC), and others. - Serve as resource and technical expert for complex coding/billing issues. - Work with staff to suggest additional avenues to resolve coding issues. - Communicate with coding staff, third party payors, clinic staff and patients to address and resolve patient account issues. Advise staff and management regarding claim edits, denials, and payment trends. - Prepare and distribute reports to summarize the results of department coding activities. - Provide administrative assistance and expertise for data analysis of charge denials and corrections and workqueue trends. May make recommendations based on analysis of data. - Provide on-the-job training for medical coding staff. - Implement new processes and targets developed by management. - Ensure processes for charge capture and processing are effective and efficient. - Assist in planning and implementing various computer applications, software, databases, and bolt-on products such as Epic and 3M. Classification Title: Coding Coordinator Department: Patient Financial Services (PCD) Percent of Time: 100%25 Schedule: Staff Type: Professional & Scientific Pay Grade: 3B Location: Hospital Support Services Building (HSSB) located in Coralville, IA This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via ZOOM from the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location. Equipment: - Onsite – The department will provide a workstation which contains 3 (three) monitors, laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies can be found in the supply closet. - Hybrid – while working onsite, the department will provide a workstation which contains 3 (three) monitors, a laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies. When working offsite, the employee will take their laptop/power cord to carry back and forth, a second docking station/power cord to keep offsite. Prior to working offsite, the employee, at their own expense, will need to supply 2 (two) monitors, in addition to the university-issued laptop, which will serve as a third monitor due to its built-in camera function, a keyboard, and a mouse. Employees will be required to provide a photo of the domicile office setup and perform an internet speed test by visiting https://www.speedtest.net/ with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then providing a screenshot of the speed test to HR. The employee’s remote workstation should replicate the onsite setup as if they were working onsite at HSSB. - Remote - when working offsite, the department will provide the employee a laptop/power cord, docking station/power cord, headset. Prior to working offsite and at their own expense, the employee will be required to obtain or possess 2 (two) monitors, in addition to the university-issued laptop, which will serve as a third monitor due to its built-in camera function, a keyboard, and a mouse. Employees will be required to provide a photo of the domicile office setup and perform an internet speed test by visiting https://www.speedtest.net/ with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then providing a screenshot of the speed test to HR. The employee’s remote workstation should replicate the onsite setup as if they were working onsite at HSSB. Education Required: - Bachelor’s degree or an equivalent combination of education and experience. Required Qualifications: - Coding certification (e.g., RHIT, RHIA, CPC, CCS) through a nationally recognized credentialing body such as AHIMA or AAPC. - Two or more years of medical coding experience. - Knowledge, understanding, and experience with Centers for Medicare and Medicaid Services (CMS) regulations or industry standards. - Proficiency with standard office computer software (i.e., Microsoft) applications. - Excellent written and interpersonal communication, customer service, and conflict resolution skills. - Ability to prioritize and coordinate inquiries from patients, staff, and administration. - Excellent analytical skills and a strong attention to detail with the ability to achieve or exceed organizational and individual performance goals. Desirable Qualifications: - Supervisory experience (typically 1 or more years supervising medical coding and/or billing). - Knowledge of University Human Resources policies and procedures, as well as UI Health Care coding policies and procedures. - Experience with Epic Systems. Application Process: In order to be considered for an interview, applicants must upload the following documents and mark them as a “Relevant File” for the submission: - Resume - (optional) Cover Letter Job openings are posted for a minimum of 7 calendar days and may be removed from posting and filled any time after the original posting period has ended. Applications will be accepted until 11:59 PM on the date of closing. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process. Successful candidates will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location. For additional questions, please contact Veronica Clark at veronica-clark@uiowa.edu Applicant Resource Center: Need help submitting an application or accepting an offer? Support is available! Our Applicant Resource Center is now open in the Fountain Lobby at the Main Hospital. Hours: - Monday 10:00 am – 4:00 p.m. - Tuesday 10:00 am – 4:00 p.m. - Wednesday 10:00 am – 4:00 p.m. - Thursday 10:00 am – 4:00 p.m. - Friday 10:00 am – 4:00 p.m. Or by appointment - Contact TAHealthCareSupport@healthcare.uiowa.edu to schedule an appointment or just stop by. Visit the website for more information: https://uihc.org/locations/medical-center-university/application-resource-center
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. This position is not eligible for employment-based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. Primary Duties: - Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. - Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. - Translates medical policies into reimbursement rules. - Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. - Coordinates research and responds to system inquiries and appeals. - Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. - Perform pre-adjudication claims reviews to ensure proper coding was used. - Prepares correspondence to providers regarding coding and fee schedule updates. - Trains customer service staff on system issues. - Works with providers contracting staff when new/modified reimbursement contracts are needed. Qualifications - Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. - Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. Requirements - CEMC, RHIT, CCS, CCS-P certifications preferred. Benefits - Market-competitive total rewards including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. - Medical, dental, vision, short and long term disability benefits. - 401(k) + match, stock purchase plan, life insurance, wellness programs and financial education resources.
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Capitol Bridge is currently seeking Board Certified Physicians, licensed in any state, for remote, 1099 contract roles across the following specialties: - DERMATOLOGY - GASTROENTEROLOGY - OTOLARYNGOLOGY - PSYCHIATRY - PULMONOLOGY - RHEUMATOLOGY This is a flexible, fully remote 1099 opportunity. You will be responsible for resolving claim disputes submitted by various parties such as physicians, hospitals, institutions, pharmacies, and other licensed healthcare providers. Additionally, you will provide assistance to contracted and non-contracted health care providers and health care plans for resolution of claims disputes. Your role requires: - Conducting all job duties efficiently, promptly, productively, consistently, and courteously - Maintaining a high level of professionalism Compensation: Approximately $250 per case depending on case requirements. Qualifications - Must be an MD or DO - Must be Board Certified - Must have 5 years patient care experience within the last 2 years - Must have an unrestricted Medical License Requirements - Must be an MD or DO - Must be Board Certified - Must have 5 years patient care experience within the last 2 years - Must have an unrestricted Medical License Benefits - Employment is contingent on successful passing of a background check. Reasonable Accommodation If you require alternative methods of application or screening, you must approach the employer directly to request this. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. Other duties may be assigned. EEO Statement Capitol Bridge LLC. is an Equal Opportunity Employer. All employment decisions at Capitol Bridge are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Texting Notice We communicate with applicants by text in addition to email and phone. If you apply for this position, we may text you about this position, your application for the position, or other things relevant to this job position. If we text you and you no longer want us to text you, you can opt-out at that time.


