Board Certified Orthopedic Surgeon- Physician Advisor - IME / Record Review

Dane Street; Nashville (TN); Remote; USD 100,000 - 150,000; Full time

Job summary

Dane Street is seeking a Physician Reviewer / Advisor for Independent Medical Exams. This telework position offers flexible scheduling and supplemental income opportunities. Candidates must hold a Kentucky State Medical license and be Board Certified in Orthopedic Surgery, utilizing clinical expertise to review insurance claims and ensure compliance with guidelines.

Benefits

Schedule flexibility

Predictable work hours

User-friendly work portal

Qualifications

• Must hold a Kentucky State Medical license.
• Board Certified in Orthopedic Surgery required.
• Active practice and proper credentials needed.

Responsibilities

• Review medical records and address client questions using specific criteria.
• Provide rationale with supporting documentation for decisions.
• Utilize guidelines and literature to support objective decision-making.

Skills

Clinical expertise

Evidence-based guidelines

Medical necessity interpretation

Education

Kentucky State Medical license

Board Certified in Orthopedic Surgery

Job description

Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Must hold a Kentucky State Medical license and be Board Certified in Orthopedic Surgery.

• Office location MUST be within 50 miles of Bowling Green, Kentucky.

Requirements

As a Physician Reviewer / Advisor for Independent Medical Exams (IME), you will utilize clinical expertise to review insurance appeals, and 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 client questions using specific criteria or recognized evidence-based standards.
2. Provide clear, concise rationale with adequate supporting documentation for decisions.
3. Utilize current criteria and resources such as national, state, and professional guidelines, and peer-reviewed literature to support objective decision-making. Avoid using limited sample size case studies or cohorts.
4. Provide copies of criteria used in reviews along with reports promptly.
5. Return cases by the due date and time.
6. Make necessary telephone calls as mandated by state or client requirements.
7. Maintain proper credentials, licenses, and certifications required for the role.
8. Attend all required orientations and training sessions.
9. Perform additional duties such as addressing quality assurance issues, complaints, regulatory concerns, depositions, court appearances, or audits.
10. Board certification and active practice are required.

Additional Information:

• This role offers a robust opportunity for supplemental income.
• Enjoy schedule flexibility and predictable work hours—choose your services, case types, volume, and review times based on your availability.
• No doctor/patient relationship is established; these are advisory opinions only.
• Enhance your industry expertise in medical necessity and utilization review/management.
• Expand your credentials as an expert in IME and physician advisor services.
• Cases are fully prepped, with streamlined workflows, transcription services at no cost, and a user-friendly work portal.

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