Telecommuting Physician Jobs - VirtualVocations.com https://www.virtualvocations.com/ VirtualVocations offers a unique service to those who are looking for high quality, credible, work from home positions. Telecommuting Coding Compliance Specialist in the Shreveport Area https://www.virtualvocations.com/job/telecommuting-coding-compliance-specialist-in-the-shreveport-area-418247.html A healthcare company has a current position open for a Telecommuting Coding Compliance Specialist in the Shreveport Area. Candidates will be responsible for the following: Providing assessment and tracking of documentation compliance Developing and implementing ongoing coding training and auditing of medical records Providing education and auditing related to the coding and documentation of medical records within the physician practice Position Requirements Include: Minimum of three years' experience in CPT, HCPCS, and ICD-9/ICD-10 coding required Able to work cooperatively as a team with all revenue cycle and management associates Certification in coding through a recognized coding organization Must also have a focus on regulatory and billing requirements 418247 Telecommute Utilization Review Physician Family Practitioner in Greenwood Village https://www.virtualvocations.com/job/telecommute-utilization-review-physician-family-practitioner-in-greenwood-village-440119.html A healthcare company is in need of a Telecommute Utilization Review Physician Family Practitioner in Greenwood Village. Individual must be able to fulfill the following responsibilities: Providing copies of any criteria utilized in a review to a requesting provider in a timely manner Telephonically contacting providers and interacts with other health professionals Reviewing medical files and providing recommendations Skills and Requirements Include: Attends orientation and training Must be in active medical practice to perform appeals Board certified MD, DO, Current, unrestricted clinical license Post-graduate experience in direct patient care Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer 440119 Remote Utilization Review Physician Physiatrist in Greenwood Village https://www.virtualvocations.com/job/remote-utilization-review-physician-physiatrist-in-greenwood-village-440104.html A medical review company needs applicants for an opening for a Remote Utilization Review Physician Physiatrist in Greenwood Village. Core Responsibilities Include: Reviewing medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care Returning cases in a timely manner with clear concise and complete rationales and documented criteria Performing other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits Qualifications Include: Attend orientation and training Colorado physicians are required to have either a Level 1 or Level 2 Accreditation Board certified MD, DO, with an excellent understanding of network services and managed care Current, unrestricted clinical license(s) Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer Must be in active medical practice to perform appeals 440104 Telecommute Orthopedic Surgeon Utilization Review Physician in Sacramento https://www.virtualvocations.com/job/telecommute-orthopedic-surgeon-utilization-review-physician-in-sacramento-440125.html A healthcare company is in need of a Telecommute Orthopedic Surgeon Utilization Review Physician in Sacramento. Must be able to: Telephonically contact providers and interact with other health professionals in a professional manner Return cases in a timely manner with clear concise and complete rationales and documented criteria Recruit and credential new reviewers Qualifications Include: Ability to attend onsite orientation and training Board certified MD, DO, DC or allied health professional with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties Must be in active medical practice to perform appeals Current, unrestricted clinical license(s) Post-graduate experience in direct patient care 440125 Telecommute Occupational Medicine Utilization Review Physician in La Porte https://www.virtualvocations.com/job/telecommute-occupational-medicine-utilization-review-physician-in-la-porte-440099.html A healthcare company is searching for a person to fill their position for a Telecommute Occupational Medicine Utilization Review Physician in La Porte. Core Responsibilities Include: Reviewing medical files and providing recommendations for utilization review Returning cases in a timely manner Performing other duties as assigned Qualifications for this position include: Ability to attend orientation and training Board certified MD, DO, with an excellent understanding of network services and managed care Current, unrestricted clinical license(s) Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties Must be in active medical practice to perform appeals Other requirements as outlined in the job description 440099 Telecommute Anesthesiologist Utilization Review Physician in Greenwood Village https://www.virtualvocations.com/job/telecommute-anesthesiologist-utilization-review-physician-in-greenwood-village-440094.html A healthcare company is in need of a Telecommute Anesthesiologist Utilization Review Physician in Greenwood Village. Core Responsibilities of this position include: Reviewing medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care Returning cases in a timely manner with clear concise and complete rationales and documented criteria Attending orientation and training Qualifications for this position include: Meets with Medical Director to discuss quality of care and credentialing and state licensure issues Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing Current, unrestricted clinical license(s) Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer Must present evidence of current error and omissions liability coverage for job duties and activities performed Colorado physicians are required to have either a Level 1 or Level 2 Accreditation 440094 Telecommute Utilization Review Ortho Surgical Physician in Tampa https://www.virtualvocations.com/job/telecommute-utilization-review-ortho-surgical-physician-in-tampa-433420.html A healthcare company is in need of a Telecommute Utilization Review Ortho Surgical Physician in Tampa. Must be able to: Telephonically contact providers and interact with other health professionals in a professional manner Review medical files and provide recommendations for utilization review Return cases in a timely manner with clear concise and complete rationales and documented criteria Applicants must meet the following qualifications: Attends orientation and training Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services Current, unrestricted clinical license(s) Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer Must be in active medical practice to perform appeals Post-graduate experience in direct patient care 433420 Remote Orthopedic Surgery Utilization Review Physician in Greenwood Village https://www.virtualvocations.com/job/remote-orthopedic-surgery-utilization-review-physician-in-greenwood-village-440097.html A healthcare company is searching for a person to fill their position for a Remote Orthopedic Surgery Utilization Review Physician in Greenwood Village. Individual must be able to fulfill the following responsibilities: Telephonically contacting providers and interact with other health professionals in a professional manner Reviewing medical files and provide recommendations for utilization review Returning cases in a timely manner with clear concise and complete rationales and documented criteria Applicants must meet the following qualifications: Ability to attend orientation and training onsite Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties Must be in active medical practice to perform appeals Current, unrestricted clinical license(s) Post-graduate experience in direct patient care 440097 Virtual Clinical Coverage Review Medical Director https://www.virtualvocations.com/job/virtual-clinical-coverage-review-medical-director-440756.html A healthcare company is searching for a person to fill their position for a Virtual Clinical Coverage Review Medical Director. Must be able to: Conduct coverage review based on individual member plan documents Use clinical knowledge in the application and interpretation of UHC medical policy Conduct daily clinical review and evaluation of all service requests Position Requirements Include: Active, unrestricted physician license Current board certification in ABMS or AOA specialty 5+ years of clinical practice experience after completing residency training 5+ years hands-on experience in utilization and coverage review in a health plan with Commercial membership Substantial experience in using electronic clinical systems in the payer setting Sound knowledge of the managed care industry 440756 Telecommute Primary Care Associate Medical Director https://www.virtualvocations.com/job/telecommute-primary-care-associate-medical-director-436159.html A healthcare company needs applicants for an opening for a Telecommute Primary Care Associate Medical Director. Core Responsibilities of this position include: Providing timely expert medical review for requests to evaluate the medical necessity of services Reviewing appeals for denied services related to current relevant medical experience or knowledge Providing timely peer-to-peer discussions with referring physicians to clarify clinical information Applicants must meet the following qualifications: Hands-on training in Melbourne, Florida office M.D. or D.O. with a current, active, U.S. state medical license and board certified in a clinical specialty recognized by the American Board of Medical Specialties Recent practice experience in direct patient care within the past 18 months Have at least 5 years of clinical experience post residency/fellowship Familiarity with automated processes and computer applications and systems 436159