Dane Street
As a Physician Reviewer/Advisor for Disability Peer Review, you will use clinical expertise to review medical records and provide independent, professional opinions on claimant functionality and disability status based on clinical evidence. This role involves applying client-specific or nationally recognized evidence-based criteria to make determinations and provide clear, well-supported rationales.
Key Responsibilities
- • On a contract basis, as individual schedule permits, accepts cases, reviews all medical records, and addresses each question posed utilizing client-specific criteria or other nationally recognized evidence-based criteria, and opines on disability status
- • Ensures a clear rationale for the determination that is concise and contains adequate supporting documentation to substantiate the decision
- • Identifies and employs current criteria and resources, such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions
- • Provides a report and copies of any criteria utilized within the review promptly
- • Returns cases on or before the due date and time specified
- • Completes peer-to-peer calls/call attempts as required based on client-specific protocol with the goal of obtaining information not included in medical records as well as any necessary clarification
- • Performs other duties as assigned, including addressing any necessary clarification, providing addendum as required (with additional compensation), identifying and responding to potential quality assurance issues, complaints, and regulatory issues
Required
- • Board certification required
- • Active practice preferred
Benefits & Perks
- • Robust opportunity for supplemental income
- • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
- • No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions
- • Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
- • Expanded credentials as an expert in Independent Medical Exams and physician advisor services
- • Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal
Job Summary
As a Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review medical records provided and return an independent, professional opinion on the claimant's functionality and restrictions or limitations as it relates to an application for disability benefits or the current status of disability. Determinations are based on the clinical evidence within the medical records provided.
Requirements
- On a contract basis, as individual schedule permits, accepts cases, reviews all medical records, and addresses each question posed utilizing client-specific criteria or other nationally recognized evidence-based criteria, and opines on disability status
- Ensures a clear rationale for the determination that is concise and contains adequate supporting documentation to substantiate the decision
- Identifies and employs current criteria and resources, such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions
- Provides a report and copies of any criteria utilized within the review promptly
- Returns cases on or before the due date and time specified
- Completes peer-to-peer calls/call attempts as required based on client-specific protocol with the goal of obtaining information not included in medical records as well as any necessary clarification
- Performs other duties as assigned, including addressing any necessary clarification, providing addendum as required (with additional compensation,) identifying and responding to potential quality assurance issues, complaints, and regulatory issues
- Board certification required, active practice preferred
Benefits
- Robust opportunity for supplemental income
- Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
- No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions
- Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
- Expanded credentials as an expert in Independent Medical Exams and physician advisor services
- Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal
Keep track of your job search
Save personal notes for each job to track your thoughts, application status, and follow-ups.
Try for freeUpload your resume
Sign up to upload your resume and get AI-powered customization for job applications.
Sign up freePractice your interview
Get AI-powered mock interviews tailored to this Board Certified Podiatry Physician Reviewer -Disability Peer Reviewer role. Upload your resume and practice with real-time voice feedback.
Sign up to practice