Cardiology - Electrophysiology Physician

Dane Street; Alaska; On-site; USD 100,000 - 125,000; Part time

Job summary

Dane Street is seeking a Physician Reviewer/Advisor for a telework position, ideal for independent contract physicians. Responsibilities include reviewing medical records and making objective assessments regarding disability claims, while ensuring compliance with necessary guidelines and timelines.

Qualifications

• Must have experience in reviewing medical records.
• Ability to provide clear and concise rationale in decisions.
• Knowledge of state and national disability determination guidelines.

Responsibilities

• Review medical records and provide independent opinions on disability functionality.
• Document clear rationale for determinations with supporting evidence.
• Conduct peer-to-peer calls for clarification as needed.

Skills

Clinical Expertise

Medical Record Review

Disability Determination Criteria

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.

As Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review medical records provided and return an independent, professional opinion on the claimant's functionality and restrictions or limitations as it relates to an application for disability benefits or the current status of disability. Determinations are based on the clinical evidence within the medical records provided.

Job Responsibilities

1. On a contract basis as individual schedule permits, accept cases, review all medical records, and address each question posed utilizing client-specific criteria or other nationally recognized evidence-based criteria, and opine on disability status.
2. Ensure a clear rationale for determination that is concise and contains adequate supporting documentation to substantiate the decision.
3. Identify and employ 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; refrain from using case studies, cohorts, and the like to make decisions.
4. Provide a report and copies of any criteria utilized within the review promptly.
5. Return cases on or before the due date and time specified.
6. Complete peer-to-peer calls or call attempts as required based on client-specific protocol with the goal of obtaining information not included in medical records as well as any necessary clarification.
7. Perform other duties as assigned, including addressing any necessary clarification, providing addendums as required (with additional compensation), and identifying and responding to potential quality assurance issues, complaints, and regulatory issues.