Orthopedic Surgeons for Utilization Review - Remote (1099 Independent Contractor)

Santa Barbara Cottage Hospital; United States; Remote; USD 80,000 - 150,000; Full time

Job summary

An established industry player is seeking a qualified Orthopedic Surgeon for a flexible, remote role reviewing medical claims. This independent contractor position allows you to work as little as 1-2 hours per week, providing expert assessments while ensuring compliance with healthcare regulations. Ideal candidates will have extensive experience in patient care and must hold a valid Minnesota medical license. Join a dynamic team and make a difference in healthcare from the comfort of your home.

Benefits

Flexible Work Hours

Remote Work

Errors and Omissions Insurance

Qualifications

• Must have 5 years of patient care experience in Orthopedic Surgery.
• Must have an unrestricted Minnesota state medical license.

Responsibilities

• Review Prior Authorizations for treatment applying medical guidelines.
• Provide expert, unbiased assessments ensuring compliance with regulations.

Skills

Orthopedic Surgery

Patient Care

Medical Review

Education

MD or DO

Board Certification in Orthopedic Surgery

Fellowship Training in Spine, Shoulder & Elbow, and/or Hip & Knee

Job description

MRIoA is a national Independent Review Organization, who facilitates the review of medical claims to determine treatment appropriateness.

• General Orthopedic Surgeons, as well as those with fellowship training in Spine, Shoulder and Elbow or Hip and Knee.
• Minnesota state medical license is required.

THE OPPORTUNITY:

• Review Prior Authorizations for treatment by applying nationally accepted medical and healthcare plan guidelines and provide expert, unbiased assessments while ensuring compliance with ERISA/DOL and state regulations.
• Flexibility – work as little as 1-2 hours per week (with no minimum requirement).Most cases take 30-60 minutes to complete.

ADDITIONAL INFORMATION:

• Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US.)
• Covered under MRIoA’s Errors and Omissions policy
• Independent Contractor (1099) opportunity

• Must be an MD or DO
• Must be Board Certified in Orthopedic Surgery
• Fellowship training in Spine, Shoulder & Elbow, and/or Hip & Knee
• Must have 5 years of patient care experience in Orthopedic Surgery
• Must have an unrestricted Minnesota state medical license
• Must be a US Citizen or hold a Green Card

California Consumer Privacy Act (CCPA) Information (California Residents Only):

• Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.
• Data Access and Correction:Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at [e-mail].

Work Environment:

Ability to sit at a desk,utilize a PC, telephone, and other basic office equipment is required. This role is designedto bea remote position (work-from-home).