Board Certified Urogynecology Reconstructive Pelvic Surgeon Disability Revi at Dane Street, LLC

, , United States -

Full Time

Start Date

Immediate

Expiry Date

29 Dec, 25

Salary

0.0

Posted On

30 Sep, 25

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Board Certification, Urogynecology, Reconstructive Pelvic Surgery, Medical Record Review, Disability Benefits, Clinical Expertise, Evidence-Based Criteria, Peer Review, Independent Medical Exams, Medical Necessity, Utilization Review, Quality Assurance, Regulatory Issues, Transcription Services, Client Communication

Industry

Insurance

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. Candidates must be Board Certified in Urogynecology Reconstructive Pelvic Surgery and actively practicing. JOB SUMMARY 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. MAJOR DUTIES AND RESPONSIBILITIES: On a contract basis as individual schedule permits, accepts cases, reviews all medical records, and addresses each question posed utilizing client-specific criteria or other nationally recognized evidence-based criteria and opines on disability status Ensures a clear rationale for determination that is concise and contains adequate supporting documentation to substantiate the decision Identifies and employs 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 Provides a report and copies of any criteria utilized within the review promptly Returns cases on or before the due date and time specified Completes peer-to-peer calls/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 Performs other duties as assigned including addressing any necessary clarification, providing addendum as required (with additional compensation,) identifying and responding to potential quality assurance issues, complaints, and regulatory issues. Board certification required, active practice required PLEASE BE AWARE: 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.

Responsibilities

As a Physician Reviewer/Advisor, you will review medical records and provide independent opinions on disability claims. You will ensure that your determinations are based on clinical evidence and adhere to established guidelines.