... cases, reviews clinical documentation, interprets federal regulations, and issues appeal ... determinations supported by medical evidence and policy. They will also provide independent second ...
... cases, reviews clinical documentation, interprets federal regulations, and issues appeal ... determinations supported by medical evidence and policy. They will also provide independent second ...
... cases, reviews clinical documentation, interprets federal regulations, and issues appeal ... determinations supported by medical evidence and policy. They will also provide independent second ...
... cases, reviews clinical documentation, interprets federal regulations, and issues appeal ... determinations supported by medical evidence and policy. They will also provide independent second ...
Manager Clinical Documentation
Baton Rouge, LA · On-site
$30.50 - $41/hr
Manages CDI staff and concurrent review activity at the facility level, including performing record reviews on admissions and documents findings. Facilitates compliant modifications to clinical ...
Manager Clinical Documentation
Baton Rouge, LA · On-site
$30.50 - $41/hr
Manages CDI staff and concurrent review activity at the facility level, including performing record reviews on admissions and documents findings. Facilitates compliant modifications to clinical ...
Manager Clinical Documentation
Baton Rouge, LA · On-site
$33.25 - $45/hr
Manages CDI staff and concurrent review activity at the facility level, including performing record reviews on admissions and documents findings. Facilitates compliant modifications to clinical ...
Manager Clinical Documentation
Baton Rouge, LA · On-site
$33.25 - $45/hr
Manages CDI staff and concurrent review activity at the facility level, including performing record reviews on admissions and documents findings. Facilitates compliant modifications to clinical ...
Manager Clinical Documentation
$33.25 - $45/hr
Manages CDI staff and concurrent review activity at the facility level, including performing record reviews on admissions and documents findings. Facilitates compliant modifications to clinical ...
Manager Clinical Documentation
$33.25 - $45/hr
Manages CDI staff and concurrent review activity at the facility level, including performing record reviews on admissions and documents findings. Facilitates compliant modifications to clinical ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $109/hr
Aids and acts as a resource to Initial Clinical Reviewers ... Ensures documentation of all communications with medical office staff and/or MD provider is ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $109/hr
Aids and acts as a resource to Initial Clinical Reviewers ... Ensures documentation of all communications with medical office staff and/or MD provider is ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $109/hr
Aids and acts as a resource to Initial Clinical Reviewers ... Ensures documentation of all communications with medical office staff and/or MD provider is ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $109/hr
Aids and acts as a resource to Initial Clinical Reviewers ... Ensures documentation of all communications with medical office staff and/or MD provider is ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $109/hr
Aids and acts as a resource to Initial Clinical Reviewers ... Ensures documentation of all communications with medical office staff and/or MD provider is ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Baton Rouge, LA · On-site
$95 - $109/hr
Aids and acts as a resource to Initial Clinical Reviewers ... Ensures documentation of all communications with medical office staff and/or MD provider is ...
ARC Document Solutions is seeking a dynamic and experienced National Project Manager - Scanning ... Excellent Company Reputation - we consistently receive 5-star customer reviews * A management team ...
ARC Document Solutions is seeking a dynamic and experienced National Project Manager - Scanning ... Excellent Company Reputation - we consistently receive 5-star customer reviews * A management team ...
RN -Clinical Documentation Specialist
Baton Rouge, LA · On-site
$27.25 - $36.75/hr
A detail-oriented, analytical RN with strong clinical judgment and a passion for documentation accuracy Four years of recent acute care clinical experience required Utilization Review or coding ...
RN -Clinical Documentation Specialist
Baton Rouge, LA · On-site
$27.25 - $36.75/hr
A detail-oriented, analytical RN with strong clinical judgment and a passion for documentation accuracy Four years of recent acute care clinical experience required Utilization Review or coding ...
RN -Clinical Documentation Specialist
$27.25 - $36.75/hr
A detail-oriented, analytical RN with strong clinical judgment and a passion for documentation accuracy Four years of recent acute care clinical experience required Utilization Review or coding ...
RN -Clinical Documentation Specialist
$27.25 - $36.75/hr
A detail-oriented, analytical RN with strong clinical judgment and a passion for documentation accuracy Four years of recent acute care clinical experience required Utilization Review or coding ...
RN -Clinical Documentation Specialist
Baton Rouge, LA · On-site
$27.25 - $36.75/hr
... Utilization Review or coding experience preferred • BSN preferred • Current Louisiana RN ... As a Clinical Documentation Specialist, you will ensure the accuracy, quality, and completeness of ...
RN -Clinical Documentation Specialist
Baton Rouge, LA · On-site
$27.25 - $36.75/hr
... Utilization Review or coding experience preferred • BSN preferred • Current Louisiana RN ... As a Clinical Documentation Specialist, you will ensure the accuracy, quality, and completeness of ...
RN -Clinical Documentation Specialist
Baton Rouge, LA · On-site
$27.25 - $36.75/hr
... Utilization Review or coding experience preferred • BSN preferred • Current Louisiana RN ... As a Clinical Documentation Specialist, you will ensure the accuracy, quality, and completeness of ...
RN -Clinical Documentation Specialist
Baton Rouge, LA · On-site
$27.25 - $36.75/hr
... Utilization Review or coding experience preferred • BSN preferred • Current Louisiana RN ... As a Clinical Documentation Specialist, you will ensure the accuracy, quality, and completeness of ...
CDQI Nurse Specialist PRN
Baton Rouge, LA · On-site
$40 - $45/hr
Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. * Collaborate with physicians and caregivers to ensure ...
CDQI Nurse Specialist PRN
Baton Rouge, LA · On-site
$40 - $45/hr
Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. * Collaborate with physicians and caregivers to ensure ...
CDQI Nurse Specialist- FT
Baton Rouge, LA · On-site
$40 - $45/hr
Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. * Collaborate with physicians and caregivers to ensure ...
CDQI Nurse Specialist- FT
Baton Rouge, LA · On-site
$40 - $45/hr
Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. * Collaborate with physicians and caregivers to ensure ...
Review policies, procedures, forms, and workflows * Identify opportunities to improve documentation quality, consistency, and regulatory compliance Performance Improvement * Recommend operational ...
Review policies, procedures, forms, and workflows * Identify opportunities to improve documentation quality, consistency, and regulatory compliance Performance Improvement * Recommend operational ...
Review policies, procedures, forms, and workflows * Identify opportunities to improve documentation quality, consistency, and regulatory compliance Performance Improvement * Recommend operational ...
Quick apply
Review policies, procedures, forms, and workflows * Identify opportunities to improve documentation quality, consistency, and regulatory compliance Performance Improvement * Recommend operational ...
Review policies, procedures, forms, and workflows * Identify opportunities to improve documentation quality, consistency, and regulatory compliance Performance Improvement * Recommend operational ...
Review policies, procedures, forms, and workflows * Identify opportunities to improve documentation quality, consistency, and regulatory compliance Performance Improvement * Recommend operational ...
Review policies, procedures, forms, and workflows * Identify opportunities to improve documentation quality, consistency, and regulatory compliance Performance Improvement * Recommend operational ...
Quick apply
Review policies, procedures, forms, and workflows * Identify opportunities to improve documentation quality, consistency, and regulatory compliance Performance Improvement * Recommend operational ...
Loan Documentation Processor
Baton Rouge, LA · On-site
$14.75 - $19.50/hr
Review all closing info to verify the structure of the loan is in accordance to the approval ... Ability to process and document complex consumer loans * Knowledge, understanding and ability to ...
Loan Documentation Processor
Baton Rouge, LA · On-site
$14.75 - $19.50/hr
Review all closing info to verify the structure of the loan is in accordance to the approval ... Ability to process and document complex consumer loans * Knowledge, understanding and ability to ...
Document Reviewer information
See Baton Rouge, LA salary details
$11.84 - $14.04
6% of jobs
$16 is the 25th percentile. Wages below this are outliers.
$14.04 - $16.25
21% of jobs
$16.25 - $18.46
18% of jobs
The median wage is $19.22 / hr.
$18.46 - $20.67
14% of jobs
$20.67 - $22.87
11% of jobs
$24.80 is the 75th percentile. Wages above this are outliers.
$22.87 - $25.08
6% of jobs
$25.08 - $27.29
7% of jobs
$27.29 - $29.50
7% of jobs
$29.50 - $31.70
3% of jobs
$31.70 - $33.91
3% of jobs
$33.91 - $36.12
3% of jobs
$11
$21
$36
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What is a document reviewer?

Other
Posted 20 days ago
Job description
Medicare Clinical Appeals Reviewer III
Fully Remote-United States
Job Type
Full-time
Description
Overview
Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture, technology, and other government services. TSS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders.
About the Role
We are seeking a Medicare Clinical Appeals Reviewer III (Dispute Resolution Reviewer III) to support our federal client. The Medicare Clinical Appeals Reviewer III is a licensed clinician who independently evaluates complex Medicare appeals and dispute cases, reviews clinical documentation, interprets federal regulations, and issues appeal determinations supported by medical evidence and policy.
They will also provide independent second-level determinations and dispute resolutions based on documentation, facts, laws, regulations, and applicable guidelines. This role works under general supervision with moderate latitude for initiative and independent judgment.
This is a remote position. Candidates must be based in the United States and able to work Eastern, Central, or Mountain Time Zone business hours with availability to work on a rotating schedule on weekends and holidays.
Required: Active, unrestricted license in good standing as an RN, PT, RT, OT, or other qualifying licensed healthcare professional. Licenses with restrictions or encumbrances are not eligible.
Responsibilities
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Review the medical records/case file, write a reconsideration/dispute resolution decision that is clear, concise, and impartial, supports the determination made, and documents the review.
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Make fair, impartial, and independent decisions based on current medical evidence, statutes, regulations, rulings, policies, and procedures.
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Respond to and ensure that all appeal/dispute issues raised by the beneficiary/patient, representative, and provider/supplier have been addressed.
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Conduct research using online federal regulations, contract policy, standards of medical practice, contract manuals, coverage issues manuals, medical literature, and other related resources to make an accurate, well-supported decision.
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Stay abreast of changes in regulations, medical and healthcare practices, policies, and procedures.
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Participate in case-specific verbal discussions.
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Conduct reviews of appeals/disputes involving multiple beneficiaries/services in a single case.
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Plan responses to statistical analysis challenges with assistance from statisticians.
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Attend meetings and participate in workgroups at management's direction.
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Serve as a subject matter expert.
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Mentors and/or trains staff.
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Conduct quality reviews and audits, as needed.
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Participate in special projects and perform other duties as assigned.
Requirements
Required Experience and Skills
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Must have 2-3 years of experience in medical dispute resolution, Medicare appeals, medical review, clinical review, or a related healthcare setting.
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Must have Nursing, Physical Therapy, Respiratory Therapy or Occupational Therapy experience. Licensed candidates with closely related clinical or medical experience may be considered.
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Demonstrated experience writing or making appeal or payment determinations
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Experience using Microsoft 365, including Excel and Word.
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Must be able to pass Federal and state criminal background checks, as required by client.
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Must be able to pass education, certification and license verification, as well as other professional background checks, as required by client.
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Must be able to pass drug screen, as required by client.
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Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.
Preferred Qualifications
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Medicare appeals, medical review, healthcare compliance review, or independent dispute resolution.
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Experience making determinations on appeals, payments, billing, or dispute resolution.
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Experience working with or supporting a federal public health agency environment.
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Patient-Provider Dispute Resolution or Independent Dispute Resolution experience.
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Coding certification.
Education and Training
- Must be an actively licensed healthcare professional with Nursing, Physical Therapy, Respiratory Therapy, Occupational Therapy, or closely related clinical experience.
Physical Requirements
- Prolonged periods of sitting at a desk and working on a computer. May need to lift 25 pounds occasionally.
Who We Are
Tanaq Support Services (TSS) is a public health contractor and certified 8(a) business owned by St. George Tanaq Corporation, an Alaska Native Corporation (ANC). We listen to our stakeholders and leverage our science, technology, communication, and program expertise to develop effective solutions.
Our commitment to non-discrimination
Tanaq Support Services is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to disability, protected veteran status, or any other status protected by applicable federal, state, or local law. Tanaq complies with the Drug-Free Workplace Act of 1988 and participates in E-Verify.
If you are an individual with a disability and need assistance completing any part of the application process, please email accommodation@tanaq.com to request a reasonable accommodation. This email is for accommodation requests only and cannot be used to inquire about the status of applications.
Notice on candidate AI usage
Tanaq is committed to ensuring a fair and competitive interview process for all candidates based on their experience, skills, and education. To protect the integrity of the interview process, candidates may not use artificial intelligence (AI) tools to generate or assist with responses during phone, in-person, or virtual interviews. Candidates who require a reasonable accommodation that may involve AI must contact us before their interview at accommodation@tanaq.com.
To view this and all our job postings, visit us at:
https://recruiting.paylocity.com/recruiting/jobs/All/a4712c9f-f074-40e8-9a14-bee06660bd81/Tanaq-Support-Services-LLC
About St. George Tanaq
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
1 - 10 Employees
Headquarters location
Anchorage, AK, US
Year founded
1973