Medical Review Specialist Jobs in the United States
Luminis Health
$83000 - $124000
Lanham, MD
Collaborates with leadership team, clinical education team, and clinical staff in: the planning and implementation of organizational and departmental goals, creating a climate of innovation through role-modeling, consultation, research, and the facilitation of learning. Promotes the advancement of nurses by offering a variety of learning opportunities planned for nurses in different stages of the Novice to Expert continuum.
Connecticut Institute for Communities, Inc.
$18 - $25
Danbury, CT
Requirements:Qualifications: Minimum High School Diploma, AA preferred, previous medical billing office experience required, ICD 9/10 experience, Certified Professional Coder (CPC) required, experience in Behavioral Health billing/coding preferred. High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software.
Sanford Health
$31 - $49.5
Fosston, MN
Gathers clinical data, prepares summary reports, and presents findings derived from data systems and ongoing monitoring activities to persons and committees for use in Medical Staff peer review processes and activities to include case review, Ongoing and Focused Professional Practice Evaluation, and evaluation of provider applications for appointment, reappointment and request for clinical privileges. Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
Jobot
$25 - $29
Los Angeles, CA
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations.
Providence Health and Services
$65.24 - $102.99
Indian, AK
Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, outreach programs, and hospice and home care. Demonstrates a firm knowledge base and clinical expertise, function as a clinical resource, conduct and facilitate patient care consultation, and provide resources to assess the impact of appropriate practice on patient outcomes.
Providence Health and Services
$65.24 - $102.99
Eagle River, AK
Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, outreach programs, and hospice and home care. Demonstrates a firm knowledge base and clinical expertise, function as a clinical resource, conduct and facilitate patient care consultation, and provide resources to assess the impact of appropriate practice on patient outcomes.
Providence Health and Services
$65.24 - $102.99
Jber, AK
Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, outreach programs, and hospice and home care. Demonstrates a firm knowledge base and clinical expertise, function as a clinical resource, conduct and facilitate patient care consultation, and provide resources to assess the impact of appropriate practice on patient outcomes.
Providence Health and Services
$65.24 - $102.99
Indian, AK
Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, outreach programs, and hospice and home care. Demonstrates a firm knowledge base and clinical expertise, function as a clinical resource, conduct and facilitate patient care consultation, and provide resources to assess the impact of appropriate practice on patient outcomes.
PermiaCare
Odessa, TX
Education Required: A Bachelor's degree from an accreditedcollege or university with a major in psychology, social work, medicine,nursing, rehabilitation, counseling, sociology, human growth and development,physician assistance, gerontology, special education, educational psychology,early childhood education or early childhood intervention or a bachelor'sdegree with at least 30 hours of coursework in the previous fields. This position provides emergency services toindividuals in the community by defining presenting complaints, obtainingrelevant medical history, assessing needed interventions, and initiating appropriatecrisis intervention services, resolving crisis situations, filing emergencydetention orders, and facilitating entrance into Crisis respite facilities whenappropriate.
Atrium Staffing
$23 - $25
Trenton, NJ
Our client is a long-standing and well-respected non-profit healthcare organization looking for an experienced Medical Billing Specialist to join and assist their ever-growing team! By applying to this job, you agree to receive calls, AI-generated calls, text messages, and/or emails from Atrium and its affiliates, and contracted partners.
CFS
$55000 - $65000
Kingston, NY
This role offers a blend of stability, meaningful work, and clear ownership, supporting an organization dedicated to delivering essential care in the community. We are partnering with a growing home healthcare organization seeking an Accounts Payable Specialist to join their finance team.
Geisinger
Danville, PA
Promotes a partnership with the inpatient coding professionals to ensure the accuracy of principal diagnosis, procedures and completeness of supporting documentation to determine the working and final DRG, severity of illness and risk of mortality. It is expected that the CDIS have previous clinical skills, including an understanding of Anatomy and Physiology in order to appropriately discuss with the physician such issues as the underlying etiology, principal diagnosis, diagnostic studies, treatment modalities, to name a few.
NewYork-Presbyterian
$145600 - $169000
Brooklyn, NY
NewYork-Presbyterian Brooklyn Methodist Hospital is affiliated with Weill Cornell Medicine, an Ivy League medical school that is among the nation's best in patient care, medical education, and research. WOC nurses collaborate with unit leadership and staff RNs by recommending appropriate treatment and prevention plans, while coaching, and mentoring staff in wound and ostomy care.
Geisinger
Danville, PA
It is expected that the CDIS have previous clinical skills, including an understanding of Anatomy and Physiology in order to appropriately discuss with the physician such issues as the underlying etiology, principal diagnosis, diagnostic studies, treatment modalities, to name a few. The Clinical Documentation Improvement Program (CDI) is designed to improve the physician’s documentation in the patient’s medical record, supporting the appropriate severity of illness, expected risk of mortality and complexity of care of the patient.
Flagstar Bank
Troy, MI
Strong knowledge of applicable state and federal payroll and related tax regulations, legislation and guidelines including, but not limited to writs of garnishment, child support, levies, subpoenas, non-resident alien and U.S. tax treaties. Prepares and files a variety of local, state, and federal forms including, but not limited to, tax forms, monthly, quarterly and year end filings, responds to outside agency requests for production.
Port of Corpus Christi Authority
$60382 - $91187
Corpus Christi, TX
This position will execute and manage fire prevention and protection activities covering a broad range of functions including, but not limited to, inspecting and maintaining fire suppression equipment, identifying and correcting safety hazards, conducting fire safety inspections, and providing training. ESSENTIAL PHYSICAL JOB FUNCTIONSAbility to perform essential job functions, including but not limited to frequent standing, walking, sitting, speaking or hearing, typing and occasional reaching, stooping, kneeling, lifting and/or moving up to 50 pounds with or without reasonable accommodation.
Agropur
$84200 - $105200
Lake Norden, SD
Initiates and leads risk-based methodologies such as Equipment/System Criticality Analysis (CA), Failure Modes, Effects, and Criticality Analysis (FMECA), and Reliability-Centered Maintenance (RCM). Provides technical assistance to maintenance supervisors, planners, and maintenance employees in the form of specific technical data on system configuration and performance as a backup for the Maintenance Specialist.
Akron Children's Hospital
Akron, OH
Summary: An RN Transfer Access Specialist is a critical part of the Access and Navigation Center by accepting patients for Transport via “Quick Accept Guidelines” (QAG), while managing bed assignments and mobilization of the Transport Team. IAMTCS (International Association of Medical Transport Communication Specialists), Certified Communicator Course of equivalent education is encouraged within two years of hire.
Inland Regional Center
SAN BERNARDINO, CA
Inland Regional Center, a non-profit agency that provides support to people with intellectual disabilities, autism, cerebral palsy, and epilepsy through the Inland Empire since 1972 has an exciting job opportunity for a Nurse Specialist position for the Medicaid Waiver department to work out of our San Bernardino, CA office. Ability to handle a hybrid work environment consisting of working in the office and remotely at home while maintaining work productivity and efficiency; communicate via telephone calls, video conference calls, emails, and chat rooms.
Vaco LLC
$24 - $26
Westport, CT
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Vaco LLC
$25 - $27
Kansas City, MO
The Accounts Payable Specialist supports the company’s financial operations by accurately processing invoices, managing vendor payments, and ensuring all accounts payable activities are handled efficiently in accordance with established policies and procedures. Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs.
Vaco LLC
$25 - $27
Phoenix, AZ
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Vaco LLC
$27 - $30
Phoenix, AZ
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Vaco LLC
$54000 - $64000
Indianapolis, IN
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Openwork Health
$2335
York, ME
If you’ve got: 2+ years of experience in your specialty An active RN license BLS certification from the American Heart Association And a love for nursing (plus a little sense of adventure!) . Pay That’s Worth Your Time: We offer competitive pay packages, weekly direct deposit, and a dedicated payroll specialist who’s always just a message away.
Vaco LLC
$50000 - $70000
Indianapolis, IN
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Vaco LLC
$25 - $27
Phoenix, AZ
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Vaco LLC
$26 - $27
Phoenix, AZ
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
SMX, LLC
$17.5
Roanoke, TX
Perks & Benefits: Casual Dress Code, Modern, high tech Environment, Paid Training, Weekly paychecks, Direct Deposit or Cash Card pay options, Medical / Dental Insurance, Paid Time Off, Apprenticeship Program, Advancement Opportunities. With Staff Management | SMX, you'll get a weekly paycheck, learn new skills, meet new people, and work with a great management team in a clean and safe environment.
TemPositions Group Of Companies
$28 - $30
East Northport, NY
Description:This is a hands-on role for a billing professional who can operate independently, collaborate with a small internal team, and take ownership of high-value claims. Generate and submit clean medical claims using physician-provided CPT and diagnosis codes.
WSFS Bank
$48416 - $79541.75
Wilmington, DE
Tasks include but are not limited to analyze executed documents for accuracy and completeness, identify any closing errors or missing items on the E&O tracking report, be responsible and take ownership of E&O tracking report, perform a monthly review of E&O’s to ensure collateral is properly secured, and communicate with internal partners, Vendors and Client’s when additional information is required. The incumbent will be responsible for post-closing review of all new, renewed, and modified Business Banking loans to ensure they have been documented in accordance with the approved terms, including identification and tracking of missing documentation (E&O).
Housing Authority of the County of San Bernardino
$28.5 - $39.48
San Bernardino, CA
Assists the Real Estate Development Manager and other development staff in the day-to-day operation of the Real Estate Development Program by planning, prioritizing, and assisting with work associated with property acquisitions, conversions, land and property purchases, etc. We are currently looking for a Real Estate Services Specialist who will be responsible for performing complex clerical and technical duties in support of tasks related to Real Estate Development and project planning.
DCS Corporation
$71307 - $90000
Bedford, MA
The DAF BATTLE NETWORK is the integrated system-of-systems fusing sensors, effectors, and sustainment grids to build situational awareness, make operational decisions, and direct the force to create needed lethal and nonlethal effects in support of the Joint Force Commander’s scheme of maneuver. The DAF PEO C3BM has the responsibility of technically and programmatically integrating the DAF’s larger system-of-systems architecture needed to deliver an integrated Command and Control (C2) core function for the DAF, Joint, and Coalition forces, by teaming with all other DAF PEOs, as needed.
WSFS Bank
$53744 - $88290.5
Wilmington, DE
Our mantra is "business lending done right", and our strategy is to revolutionize small business lending by employing the latest technology and a motivated workforce to deliver fair and transparent financing solutions to businesses with unmatched levels of speed, convenience, and customer service. Work collaboratively with Healthcare Team Business Development Representatives to facilitate closing of equipment finance transactions by handling transaction related issues on applications, credit status updates and lease documentation.
GTT
Marlborough, MA
Onsite Flexibility: Hybrid (Tuesday, Wednesday, and Thursday with one day in office; flexible 9–5 or 8–4 shift depending on candidate preference). This role focuses on reviewing, updating, testing, and distributing benefits documentation to ensure accuracy and consistency across platforms and materials.
Jobot
$35 - $65
Altamonte Springs, FL
Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are a large, full-service hospital organization providing a wide range of medical services including emergency care, heart and cancer treatment, maternity with a Level II NICU, and advanced surgical procedures like robot-assisted surgery.
Vaco LLC
$65000 - $80000
Phoenix, AZ
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
CHRISTUS Health
Santa Fe, NM
Assigns accurate diagnosis and procedure codes and captures pertinent clinical data elements on all inpatient/outpatient medical records of discharged patients. In lieu of one full year certification, coder must be a certified CPC for a minimum of 6 months and must have minimum of 3 years of actual abstract coding experience.
Rancho Santiago Community College District
$128632.78 - $164205.18
Santa Ana, CA
Design: develop detailed design specification including website governance plans, entity relationships and business process models; identify maintenance requirements; perform feasibility studies for alternative designs; identify physical requirements for system implementation; prepare and conduct design review; identify impact on existing systems; determine deployment impact on website and users, perform usability testing and human factors analysis; develop test plan; define security requirements; develop system design prototype. Technical: analyze, integrate, and compare data; analyze organization of information and convert formats; analyze system configuration, and identify strengths and limitations; administer and maintain WCM systems, develop server, client, and mobile device applications, adjust and monitor system operation, and troubleshoot system malfunction and failures; recommend system modifications and improvements; analyze task and technology relationship and recommend solutions.
Geisinger
Danville, PA
Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact. The Professional Development Registered Nurse Specialist - Ambulatory Nursing is responsible for supporting nursing clinical practice, budgetary personnel activities, regulatory activities associated with the clinical department, and professional development coordination assistance.
WSFS Bank
$48416 - $79541.75
Wilmington, DE
The primary goal of NewLane’s Collections Team is to maximize the recovery of outstanding balances with diligence, consistency and integrity while supporting organizational goals and fostering collaboration within our team and company all while keeping delinquency and losses within plan. Our strategy is to revolutionize small business lending by employing the latest technology and a motivated workforce to deliver fair and transparent financing solutions to businesses with unmatched levels of speed, convenience, and customer service.
WSFS Bank
$64491 - $105949.5
Wilmington, DE
The incumbent will effectively manage the transfer of knowledge related to sales processes, products, services, soft skills, leadership, performance management, and policies while applying adult learning theory to ensure participant comprehension and job ready performance. $64,491.00 - $105,949.50Individual base pay may vary on additional factors such as the candidate’s experience, job-related skills, relevant education, geographic location, and other specific business and organizational needs.
WSFS Bank
$53744 - $88290.5
Wilmington, DE
This role serves as the primary liaison between Sales, Compliance, Operations, Support, Vendors and Channel Partners to ensure seamless and successful installations, integrations, go-live transitions, and resolving issues to provide a high touch client experience. The Senior Implementation Specialist is responsible for planning, coordinating and executing client implementations from customer approval through activation of ATM, Remote Cash Capture, WSFS branch and automation solutions for new and existing clients.
CrossLink
Campobello, SC
Position Summary: The Associate Clinical Sales Specialist is specifically responsible for obtaining and maintaining expert knowledge of Stryker Joint Replacement product portfolio including the Mako Robotic System for assigned territory and customers. As a condition of consideration for employment, selected candidates are required to successfully complete the MSC TotalOrtho+ or TotalOrtho Program, including all associated coursework, clinical training, and formal evaluations.
CFS
$50000 - $60000
Houston, TX
Full-cycle accounts payable processing, including high-volume invoice entry and vendor management. • Join a respected, stable law firm with a collaborative accounting team and low turnover.
Vaco LLC
$33 - $35
Los Angeles, CA
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure.
Vaco LLC
$30 - $33
Boston, MA
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Vaco LLC
$52000 - $70000
Indianapolis, IN
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Vaco LLC
$65000 - $80000
Atlanta, GA
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.