Independent Physician Reviewer Job at RediMinds

Senior Physician, Patient Safety

Join our dynamic Patient Safety team as a Senior Physician where you'll leverage...

Location

United States; Canada , Remote; Alberta

Salary:

Not provided

Parexel

Expiration Date

Until further notice

Requirements

Experience in clinical medicine (general or specialist qualifications) which is expected to be kept up to date
Good knowledge of drug safety and the drug development process
Good knowledge/understanding of medical terminology
Relevant experience in pharmacovigilance/ Drug Safety/ Clinical Practice
3 - 5 years previous experience in pharmacovigilance and/or medical monitoring is required
US Board Certification/board eligibility or regional equivalent for Canada
Bachelor of Medicine, Bachelor of Surgery (MBBS) / Doctor of Medicine (MD)/ Medically qualified from an acknowledged Medical School
Completion of at least basic training in clinical medicine (residency, internship etc.)
Demonstrated success in technical proficiency and scientific creativity
Good presentation and verbal/written communication skills

Job Responsibility

Maintaining a good working knowledge of the Adverse event/Safety profile of assigned products, labeling documents, data handling conventions, client’s guidelines and procedures, and global drug safety regulations and guidelines
Maintaining an awareness of global regulatory requirements, reporting obligations and organizing workload to ensure compliance with internal and regulatory timelines for adverse event reporting
Performing medical review of cases not limited to (including complex and challenging cases requiring expert judgement)), clinical trial, and literature cases including combination products {drug-device}) according to client/Parexel Standard Operating Procedures (SOPs
as applicable) and liaising with the client, as require
Writing Pharmacovigilance/Marketing Authorization Holder (MAH) comment and assessing company causality
Review appropriateness of medical content in narrative for medical coherence
Assessing seriousness, listedness / expectedness of reported events
Providing medical inputs to case processing team
Raising appropriate follow-up queries for relevant information from the reporter/HCP (Health Care Professional)
Review and verify appropriate selection of adverse events from source documents, assign appropriate Medical Dictionary for Regulatory Activities (MedDRA) code, review narrative

What we offer

Flexible approach to work that meets your personal needs
Work from home
Benefits vary by country
Investment in your professional and personal development

Physician Coding Review Specialist

Location

United States

Salary:

26.55 - 39.85 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA)
Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA)
Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA)
Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA)
Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC)
Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC)
Specialty Medical Coding Certification issued by the American Academy of Professional Coders (AAPC)
Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist
Typically requires 5 years of experience in expert-level professional coding and at least 3 years of experience in the education of clinicians in physician revenue cycle processes, health information workflows, and medical record auditing experience
Advanced knowledge of ICD, CPT, and HCPCS coding guidelines

Job Responsibility

Review assigned codes, which most accurately describe each documented diagnosis and/ or procedure according to established CPT, HCPCS, and ICD-10-CM coding guidelines along with modifier usage and medical terminology
Monitor all coding accuracy at various levels of detail and maintain coding quality as needed
Track coding issues and review coding inaccuracies to highlight areas of improvement
Report or resolve escalated issues as necessary
Responsible for reviewing Clinician documentation and billed codes for Medical Group physicians and non-physician clinicians
Review of medical records in collaboration with key stakeholders such as Internal Audit, Compliance, and Clinic Operations
Responsible for completing all certified coder quality reviews
Working in collaboration with Coding Production Leads and Supervisors
Follows the prospective and/or retrospective review plan to sample employed Clinician's medical record documentation in comparison to services selected for billing, based on best practice methodologies which will be presented and reviewed with Clinicians to provide feedback on proper coding and documentation practices
Follows the necessary schedules for team assignments of documentation/coding accuracy

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Physician Advisor

The Physician Advisor (PA) serves as a clinical resource to the medical staff an...

Location

United States , Boynton Beach

Salary:

Not provided

Baptist Health

Expiration Date

Until further notice

Requirements

Degrees: Doctor of Medicine / DO
Licenses & Certifications: ABQAURP Physician Advisor Sub-Specialty Certification
Additional Qualifications: Certification as Physician Advisor by a national physician advisor organization or American Board of Quality Assurance and Utilization Review Physicians [ABQAURP] certification or similar must be obtained within one year of hire
A minimum of 3 years work experience as practicing physician, with experience performing case reviews, and experience using MCG and/or Interqual criteria
Knowledge on application of CMS 2 Midnight Rule, and Condition of Participation, and inpatient billing requirements
Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines
Ability to communicate effectively in both oral and written form
Ability to handle difficult and stressful situations with critical thinking and professional composure
Ability to understand and follow instructions
Ability to exercise sound and independent judgment

Job Responsibility

Serves as a clinical resource to the medical staff and CM/SW by providing identification, facilitation and resolution of utilization issues
Addresses the following issues: Federal and state compliance, documentation supporting coding/medical necessity/clinical validation, appropriate level of care, length of stay, hospital utilization and quality issues
In collaboration with admitting physician, healthcare team, and case management, proactively manages cases at the point of entry and through the hospital stay, to ensure the patient is placed in the proper level of care classification based on medical necessity, severity of illness and risk of mortality
Ensures compliance with CMS for appropriate billing
Conducts post-discharge reviews related to payer audits
Promotes understanding and cooperation between the medical staff through communication, collaboration and education
Facilitate improvements in clinical practice to achieve better performance, improved cost, reduced length of stay, fewer readmissions, and superior patient care

What we offer

Relocation assistance available

Fulltime

Physician Advisor

The Physician Advisor (PA) serves as a clinical resource to the medical staff an...

Location

United States , Miami

Salary:

Not provided

Baptist Health

Expiration Date

Until further notice

Requirements

Doctor of Medicine / DO
ABQAURP Physician Advisor Sub-Specialty Certification
Medical Doctor
Osteopathic Physician
Maintains active Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) license
If license is not a state of Florida license, active State of Florida License must be obtained within one year of hire/job entry
Certification as Physician Advisor by a national physician advisor organization or American Board of Quality Assurance and Utilization Review Physicians [ABQAURP] certification or similar must be obtained within one year of hire
A minimum of 3 years work experience as practicing physician, with experience performing case reviews, and experience using MCG and/or Interqual criteria
Knowledge on application of CMS 2 Midnight Rule, and Condition of Participation, and inpatient billing requirements
Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines

Job Responsibility

Serves as a clinical resource to the medical staff and CM/SW by providing identification, facilitation and resolution of utilization issues
Addresses the following issues: Federal and state compliance, documentation supporting coding/medical necessity/clinical validation, appropriate level of care, length of stay, hospital utilization and quality issues
In collaboration with admitting physician, healthcare team, and case management, proactively manages cases at the point of entry and through the hospital stay, to ensure the patient is placed in the proper level of care classification based on medical necessity, severity of illness and risk of mortality
Ensures compliance with CMS for appropriate billing
Conducts post-discharge reviews related to payer audits
Promotes understanding and cooperation between the medical staff through communication, collaboration and education
Facilitate improvements in clinical practice to achieve better performance, improved cost, reduced length of stay, fewer readmissions, and superior patient care

Fulltime

Financial Compliance Auditor III

The Specialty Health Plans Auditor III, Finance is responsible all aspects of pl...

Location

United States , Los Angeles

Salary:

Not provided

Bright Vision Technologies

Expiration Date

Until further notice

Requirements

Bachelors Degree in Accounting or Finance
At least 4 years of experience in conducting financial audits
At least 5 years of related experience in the managed health care industry
Excellent analytical and critical thinking skills
Action-oriented, self-starter, and excellent motivator
Excellent verbal and written communication skills
Able to prioritize assignments, and able to independently with minimum supervision
Ability to interface professionally with both internal and external customers at all levels of the organization
Proficiency in Microsoft Office (Excel, PowerPoint, and SharePoint)
Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) or Certified Fraud Examiner (CFE) or Certified Management Accountant (CMA)

Job Responsibility

Performs financial audits and/or financial analyses for Specialty Health Plans on the quarterly and annual basis
Performs financial analyses for L.A. Care vendors on the quarterly and annual basis
Provides timely and accurate deliverables to ensure financial solvency and claims processing compliance with regulatory and contractual requirements for plan partners, participating provider groups, capitated hospitals, specialty health plans, and vendors
Collaborates in the creation and implementation of standardized audit workpaper and reporting templates
Is cross trained on financial solvency reviews for Participating Physician Group (PPGs), PPs, and capitated hospitals
Reviews and updates annually the department’s Policies and Procedures (P&Ps)
Supports the formalization of key internal processes and monitoring tools
Accountable for the completion of requests from Legal Department, Delegation Oversight’s monitoring oversight and reporting
Responsible for the overall communication and collaboration with interdepartmental personnel, leadership, specialty health plans, and vendors
Collaborates on the design, implementation, and reporting of special projects

What we offer

equal employment opportunities
inclusive work environment
accommodations during the recruitment process

Fulltime

Sonographer II

The Sonographer II functions as a healthcare provider who, working under the del...

Location

United States , Albuquerque

Salary:

36.38 - 56.35 USD / Hour

UNM Hospitals

Expiration Date

Until further notice

Requirements

Associate Degree
Program Graduate
Related Discipline
Allied Health Accredited Program Graduate
2 years directly related experience
4 years directly related experience
CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days
NM Med Imag & Rad Therapy Lic (NMMIRT)
ARDMS or Ultrasound Cert from Amer Reg Radiologic Technolog
1 or more ARDMS specialty exams

Job Responsibility

Follow patient safety-related policies, procedures and protocols
Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
Prepare exam room and ultrasound equipment to conduct sonography examinations in accordance with infectious disease, sterilization, and patient safety protocols, policies and procedures
Review patient medical history and supporting clinical information
Assume responsibility for the safety of the patient during the sonographic examination
Conduct patient clinical assessment and perform the diagnostic medical sonography examination ordered by the supervising physician in accordance with professional facility protocols
Apply independent judgment during the sonography examination to ensure that appropriate anatomical, pathological, and clinical conditions are accurately captures in the examination images

What we offer

Sign-On Bonus Available
Relocation Assistance Available
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials

Fulltime

Registered Nurse, Clinic (RN) - Cardiology Device

Working in the Electrophysiology department Monday - Friday 0800-1630. Device ch...

Location

United States , Grafton

Salary:

35.50 - 53.25 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

BSN or equivalent
Minimum 2 years clinical experience, with at least one-year current experience in EP/Device clinic or 5+ years of cardiovascular experience
Proficient in interpretation of EKG/cardiac rhythms/ arrhythmias
Demonstrates knowledge and skill to provide care appropriate to the age of the patients served
Good computer and organizational skills
Good communication skills
Ability to assess, plan and intervene and evaluate the physical, emotional and education needs of patients
Basic keyboarding and typing skills
Current RN license in the State teammate practices
CPR certification required upon hire or within 60 days of hire

Job Responsibility

Evaluates and manages the care of patients with cardiac pacemakers and automatic internal cardiac defibrillator systems
Demonstrates knowledge of devices, the effects of devices and utilizes critical thinking skills
Performs an independent daily review of remote transmission of the devices implanted within patients
Responsible for performing all interrogations and necessary reprogramming of devices in patients who are scheduled in the office setting
Responsible for contacting patients in regards to any company recalls thus requiring closer and more frequent monitoring
Prepares patients for exams and treatments physically and mentally and monitors their response
Capable of assisting physician with all procedures and treatments for the unit he/she works in
Is knowledgeable of assisting with job duties of all personnel in the department
Consistently orders tests and reviews results according to department protocol or as ordered by physician
Performs transtelephonic checks on pacemaker patients

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Registered Nurse

Registered Nurse (RN) - EP Device. Part time position in Cardiology: Electrophys...

Location

United States , Kenosha; Mount Pleasant

Salary:

35.50 - 53.25 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Nurse, Registered (RN), in the State of Wisconsin
CPR certification required upon hire or within 60 days of hire
Current ACLS (Advanced Cardiac Life Support) certification
BSN or equivalent
Minimum 2 years clinical experience, with at least one-year current experience in EP/Device clinic or 5+ years of cardiovascular experience
Proficient in interpretation of EKG/cardiac rhythms/ arrhythmias
Demonstrates knowledge and skill to provide care appropriate to the age of the patients served
Good computer and organizational skills
Good communication skills
Ability to assess, plan and intervene and evaluate the physical, emotional and education needs of patients

Job Responsibility

Consistently encourages questions from patients and their families and offers guidance that fosters compliance
Provides patient education on all aspects of heart pacing
Administers medications according to approved policy/procedure following protocol or physician order and monitors response
Evaluates and manages the care of patients with cardiac pacemakers and automatic internal cardiac defibrillator systems
Responsible for contacting patients in regards to any company recalls thus requiring closer and more frequent monitoring and taking appropriate measures for any further changes in the device that may be required
Demonstrates knowledge of devices, the effects of devices and utilizes critical thinking skills
Performs an independent daily review of remote transmission of the devices implanted within patients
Correlates information with the clinical condition of patients to assist in the management of arrhythmias
Responsible for performing all interrogations and necessary reprogramming of devices in patients who are scheduled in the office setting, according to type of device, insurance restrictions and patient needs
Prepares patients for exams and treatments physically and mentally and monitors their response

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Parttime

Independent Physician Reviewer

RediMinds

Location:
United States

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 14, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Independent Physician Reviewer

Senior Physician, Patient Safety

Physician Coding Review Specialist

Physician Advisor

Physician Advisor

Financial Compliance Auditor III

Sonographer II

Registered Nurse, Clinic (RN) - Cardiology Device

Registered Nurse

Independent Physician Reviewer

RediMinds

Location:United States

Category:Health and Beauty

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:February 14, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Independent Physician Reviewer

Senior Physician, Patient Safety

Physician Coding Review Specialist

Physician Advisor

Physician Advisor

Financial Compliance Auditor III

Sonographer II

Registered Nurse, Clinic (RN) - Cardiology Device

Registered Nurse

Location:
United States

Category:
Health and Beauty

Contract Type:
Not provided

Job Posted:
February 14, 2026