Medical Director/ Physician Reviewer (Fully Remote)

Partner Company; Deutschland; Remote; EUR 192.678 - 201.436; Vollzeit

Benefits dieser Stelle

Medical, dental & vision insurance

401(k) with employer match

Generous PTO

Fully remote work setup

Zusammenfassung

Partner Company in Germany is seeking a physician reviewer to conduct DRG clinical validation reviews by analyzing hospital medical records. You will review cases for readmissions, cost outliers, and level-of-care determinations, producing clear clinical summaries and rationales for review findings.

This is a fully remote, remote-first position with comprehensive medical, dental, and vision insurance, a 401(k) with employer match, and generous PTO.

Qualifikationen

• MD or DO degree with completed residency and board certification.
• Minimum 5 years of active clinical practice experience.
• Active, unrestricted medical license in at least one U.S. state.

Aufgaben

• Conduct DRG clinical validation reviews by analyzing hospital medical records.
• Review cases for readmissions, cost outliers, and level-of-care determinations.
• Produce clear clinical summaries and rationales for review findings.

Ausbildung

MD or DO degree

Board certification

Jobbeschreibung

• Conduct DRG clinical validation reviews by analyzing hospital medical records.
• Review cases for readmissions, cost outliers, and level-of-care determinations.
• Produce clear clinical summaries and rationales for review findings.

Requirements:

• MD or DO degree with completed residency and board certification.
• Minimum 5 years of active clinical practice experience.
• Active, unrestricted medical license in at least one U.S. state.
• Annual salary range of $220,000 to $230,000 USD.
• Comprehensive medical, dental, and vision insurance.
• 401(k) with employer match and generous PTO.
• Fully remote work setup with flexible wellness benefits.

Partner Company

The company provides medical record review and utilization management services to ensure accurate coding and appropriate reimbursement. It is a remote-first organization with a focus on clinical integrity and quality assurance.