DME Documentation Reviewer

Job Summary

A company is looking for a Part Time DME Documentation & Criteria Reviewer.

Key Responsibilities

• Review the model's outputs to improve criteria determinations
• Flag incorrect determinations and provide structured feedback
• Compare documentation against payer coverage policies and analyze source materials

Required Qualifications

• Hands-on DME experience in intake, documentation review, audits, or compliance
• Confidence in identifying compliance with payer requirements
• Comfort in reviewing insurance coverage policies
• Highly organized and detail-focused
• Ability to work independently in a remote team setting