Board-Certified Orthopedic Surgeon for IME

Dane Street; Saint Paul (MN); On-site; USD 250,000 - 350,000; Full time

Job summary

A leading company seeks a Board-Certified Orthopedic Surgeon to serve as a Physician Reviewer/Advisor for Independent Medical Exams. This role involves reviewing insurance appeals and ensuring compliance with medical necessity standards. Enjoy a flexible schedule and supplemental income opportunities without the need for a doctor/patient relationship.

Benefits

Supplemental income opportunity

Flexible schedule with predictable hours

No doctor/patient relationship

Enhance industry expertise

Expand credentials as an IME

Qualifications

• Must maintain proper credentials, licenses, and certifications.
• Board certification and active practice are required.

Responsibilities

• Review medical records and address client questions using relevant criteria.
• Provide rationale with supporting documentation for decisions.
• Make mandated telephone calls as required.

Skills

Clinical Expertise

Medical Necessity Interpretation

Decision-Making

Education

Board Certification

Job description

Board-Certified Orthopedic Surgeon for IME

Be among the first 25 applicants - 1 month ago

Requirements

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise to review insurance appeals, prospective, and retrospective claims. You will interpret the medical necessity of services provided by healthcare professionals, ensuring compliance with client-specific policies, evidence-based guidelines, and standards of care.

Major Duties and Responsibilities:

1. Review all medical records and address each question posed by the client using relevant criteria.
2. Provide clear, concise rationale with supporting documentation for decisions.
3. Utilize current criteria and resources such as national guidelines and peer-reviewed literature to support objective decision-making; avoid limited sample size case studies.
4. Provide copies of criteria used in reviews promptly.
5. Return cases on or before the due date.
6. Make mandated telephone calls as required by state and client specifics.
7. Maintain proper credentials, licenses, and certifications.
8. Attend all required training and orientation.
9. Perform additional duties including addressing quality assurance, complaints, regulatory issues, depositions, court appearances, or audits.
10. Board certification and active practice are required.

Security Notice: Dane Street will never conduct interviews via text or request checks for any reason, including equipment purchases.

Benefits:

• Supplemental income opportunity
• Flexible schedule with predictable hours—choose services, case types, and your availability
• No doctor/patient relationship or treatment involved—advisory-only opinions
• Enhance your industry expertise in medical necessity and utilization review
• Expand credentials as an IME and physician advisor
• Prepped cases, streamlined workflow, transcription services, and user-friendly portal

Dane Street manages referral processes, scheduling, case preparation, client communication, and report quality and timeliness.