Remote Physician Reviewer—Flexible, Evidence-Based Opinions

Managed Medical Review Organization; United States; Remote; USD 120,000 - 180,000; Full time

Job summary

Managed Medical Review Organization (MMRO) is seeking an Independent Physician Reviewer to perform objective medical record reviews and provide evidence-based opinions on diagnosis, treatment, disability, impairment, and medical necessity questions. Reviews are conducted remotely, with flexible case selection and no patient contact.

Ideal candidates are physicians with an unrestricted U.S. license, ABMS/AOA certification, and at least five years of clinical practice, including recent activity.

Qualifications

• Current, unrestricted M.D. or D.O. license to practice medicine in the United States.
• Active Colorado medical license.
• Board Certification through an American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA) recognized specialty board.
• Minimum of five (5) years of full-time equivalent clinical practice.
• Active clinical experience within the past three (3) years.
• Strong written communication skills and attention to detail.
• Ability to meet established review deadlines consistently.

Responsibilities

• Conduct thorough, unbiased medical chart reviews in accordance with accepted clinical standards and evidence-based guidelines.
• Analyze medical records and supporting documentation to formulate clear, well-reasoned clinical opinions.
• Prepare concise, accurate, and defensible written reports that clearly support review determinations.
• Complete reviews in accordance with MMRO's quality standards and established turnaround times.
• Utilize MMRO review templates and ensure all required elements are addressed completely and accurately.
• Maintain professionalism, objectivity, and confidentiality throughout the review process.
• Respond promptly to communications from MMRO clinical and operations staff.
• Participate in required reviewer orientation and ongoing training activities.
• Incorporate quality feedback provided by MMRO's Medical Director, Associate Medical Director, and clinical team.
• Support continuous quality improvement initiatives through constructive suggestions and collaboration.

Skills

Medical license

Clinical experience

Written communication

Job description

Managed Medical Review Organization (MMRO) is seeking an Independent Physician Reviewer to perform objective medical record reviews and provide evidence-based opinions on diagnosis, treatment, disability, impairment, and medical necessity questions. Reviews are conducted remotely, with flexible case selection and no patient contact.

Ideal candidates are physicians with an unrestricted U.S. license, ABMS/AOA certification, and at least five years of clinical practice, including recent activity.