Board-Certified Podiatry Specialist for IME

Dane Street; Manton (MI); Remote; USD 90,000 - 120,000; Part time

Benefits offered by this job

Schedule flexibility

Supplemental income opportunity

No doctor-patient relationship established

Transcription services at no cost

Prepped cases

Transcription services

Job summary

A leading medical review organization is looking for a Physician Reviewer/Advisor to utilize clinical expertise in reviewing insurance appeals and claims. The position requires board certification, active practice, and maintaining necessary state licenses. Responsibilities include reviewing medical records, providing documentation support, and ensuring compliance with guidelines. The role offers flexible scheduling and focuses on advisory services without establishing doctor-patient relationships. Candidates will enjoy a robust opportunity for supplemental income and enhanced expertise in medical necessity and utilization review.

Qualifications

• Board certification required to ensure quality and compliance.
• Active practice necessary for relevant clinical insights.
• Valid state license and any additional certifications needed.

Responsibilities

• Review all medical records and ensure client-specific criteria are met.
• Provide clear rationale and adequate documentation for decisions.
• Maintain proper credentialing and comply with state requirements.
• Attend mandatory training and orientation sessions.
• Identify and address quality assurance issues.
• Make telephone calls as mandated by state/client specifics.
• Maintain proper credentialing and state licenses and any required certifications.
• Attend all required orientation and training.
• Address QA issues, regulatory matters, deposits, court appearances, or audits as needed.

Skills

Clinical expertise

Medical necessity interpretation

Knowledge of evidence-based guidelines

Analytical skills

Education

Board certification

Valid state license

State licenses

Job description

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise to review insurance appeals and prospective/retrospective claims. This role involves interpreting the medical necessity of services provided by other healthcare professionals in accordance with client‑specific policies, nationally recognized evidence‑based guidelines, and standards of care.

Responsibilities

• Reviews all medical records and addresses each question posed by the client utilizing client‑specific criteria or other nationally recognized evidence‑based criteria.
• Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision.
• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer‑reviewed literature that support sound and objective decision‑making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes.
• Provides copies of any criteria utilized in a review with the report in a timely manner.
• Returns cases on or before the due date and time.
• Makes telephone calls as mandated by the state and/or client specifics.
• Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.
• Attends all required orientation and training.
• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.

Qualifications

• Board certification required.
• Active practice required.
• Valid state license(s) and any necessary special certifications.

Important Notice

In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason, including the purchase of equipment.

Benefits

• Robust opportunity for supplemental income.
• Schedule flexibility and predictable work hours—you choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability.
• No doctor/patient relationship is established, and no treatment is provided. These are advisory‑only opinions.
• Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise.
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services.
• Fully prepped cases, streamlined case flow, transcription services at no cost, and user‑friendly work portal.

Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.

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