UTILIZATION REVIEW RN
Seymour, IN · On-site
... medical necessity criter and payer requirements JOB DUTIES 1. Utilization Review and Medical ... Necessity 2. Concurrent Review and Length of Stay Management 3. Retrospective Review 4. Payer ...
Seymour, IN · On-site
... medical necessity criter and payer requirements JOB DUTIES 1. Utilization Review and Medical ... Necessity 2. Concurrent Review and Length of Stay Management 3. Retrospective Review 4. Payer ...
Seymour, IN · On-site
... medical necessity criter and payer requirements JOB DUTIES 1. Utilization Review and Medical ... Necessity 2. Concurrent Review and Length of Stay Management 3. Retrospective Review 4. Payer ...
Fort Wayne, IN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Reviews physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization. * Conducts research into new or controversial medical procedures ...
Fort Wayne, IN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Reviews physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization. * Conducts research into new or controversial medical procedures ...
Medical
Dental
Vision
Life
Retirement
PTO
Reviews physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization. * Conducts research into new or controversial medical procedures ...
Medical
Dental
Vision
Life
Retirement
PTO
Reviews physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization. * Conducts research into new or controversial medical procedures ...
Munster, IN · On-site
Analytical ability to participate in the development of policies and procedures, conduct clinical case review activities, develop methods and techniques of deficiency resolution and review medical ...
Munster, IN · On-site
Analytical ability to participate in the development of policies and procedures, conduct clinical case review activities, develop methods and techniques of deficiency resolution and review medical ...
Munster, IN · On-site
$34.82 - $52.23/hr
Analytical ability to participate in the development of policies and procedures, conduct clinical case review activities, develop methods and techniques of deficiency resolution and review medical ...
Munster, IN · On-site
$34.82 - $52.23/hr
Analytical ability to participate in the development of policies and procedures, conduct clinical case review activities, develop methods and techniques of deficiency resolution and review medical ...
Hobart, IN · On-site
$38.06 - $60.94/hr
Analytical ability to participate in the development of policies and procedures, conduct clinical case review activities, develop methods and techniques of deficiency resolution and review medical ...
Hobart, IN · On-site
$38.06 - $60.94/hr
Analytical ability to participate in the development of policies and procedures, conduct clinical case review activities, develop methods and techniques of deficiency resolution and review medical ...
Hobart, IN · On-site
Analytical ability to participate in the development of policies and procedures, conduct clinical case review activities, develop methods and techniques of deficiency resolution and review medical ...
Hobart, IN · On-site
Analytical ability to participate in the development of policies and procedures, conduct clinical case review activities, develop methods and techniques of deficiency resolution and review medical ...
Newburgh, IN · On-site
Medical
Dental
Vision
Retirement
PTO
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees * Competitive Paid Time ... Previous utilization review experience in a psychiatric healthcare facility preferred. * License:
Newburgh, IN · On-site
Medical
Dental
Vision
Retirement
PTO
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees * Competitive Paid Time ... Previous utilization review experience in a psychiatric healthcare facility preferred. * License:
Medical
Dental
Vision
Retirement
PTO
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees * Competitive Paid Time ... Previous utilization review experience in a psychiatric healthcare facility preferred. * License:
Medical
Dental
Vision
Retirement
PTO
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees * Competitive Paid Time ... Previous utilization review experience in a psychiatric healthcare facility preferred. * License:
Lafayette, IN · On-site
Medical
Dental
Vision
Retirement
PTO
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees * Competitive Paid Time ... Communicate with physicians to schedule peer to peer reviews. * Accurately report denials.
Lafayette, IN · On-site
Medical
Dental
Vision
Retirement
PTO
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees * Competitive Paid Time ... Communicate with physicians to schedule peer to peer reviews. * Accurately report denials.
Indianapolis, IN · On-site
$57K - $77K/yr
Reviews medical records/case files, writes reconsideration decision letters that are clear, concise, and impartial, and support the determination made, and documents the review. * Makes sound ...
Indianapolis, IN · On-site
$57K - $77K/yr
Reviews medical records/case files, writes reconsideration decision letters that are clear, concise, and impartial, and support the determination made, and documents the review. * Makes sound ...
Lafayette, IN · On-site
Medical
Dental
Vision
Retirement
PTO
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees * Competitive Paid Time ... Communicate with physicians to schedule peer to peer reviews. * Accurately report denials.
Lafayette, IN · On-site
Medical
Dental
Vision
Retirement
PTO
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees * Competitive Paid Time ... Communicate with physicians to schedule peer to peer reviews. * Accurately report denials.
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. * Make fair ...
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. * Make fair ...
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the ... What You'll Do Clinical Record Audits & Documentation Review * Perform monthly audits of skilled ...
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the ... What You'll Do Clinical Record Audits & Documentation Review * Perform monthly audits of skilled ...
Fort Wayne, IN · On-site
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the ... What You'll Do Clinical Record Audits & Documentation Review * Perform monthly audits of skilled ...
Fort Wayne, IN · On-site
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the ... What You'll Do Clinical Record Audits & Documentation Review * Perform monthly audits of skilled ...
Fort Wayne, IN · On-site
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the ... What You'll Do Clinical Record Audits & Documentation Review * Perform monthly audits of skilled ...
Fort Wayne, IN · On-site
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the ... What You'll Do Clinical Record Audits & Documentation Review * Perform monthly audits of skilled ...
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the ... What You'll Do Clinical Record Audits & Documentation Review * Perform monthly audits of skilled ...
Quick apply
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the ... What You'll Do Clinical Record Audits & Documentation Review * Perform monthly audits of skilled ...
... the Medical Review Officer Certification Council (MROCC). • Medical Examiner Certification by the Federal Motor Carrier Safety Administration for DOT/CDL exams. • Working knowledge of ...
... the Medical Review Officer Certification Council (MROCC). • Medical Examiner Certification by the Federal Motor Carrier Safety Administration for DOT/CDL exams. • Working knowledge of ...
Indianapolis, IN · On-site
$30 - $34/hr
Medical
Dental
Vision
We offer a broad range of medical and specialty products. These candidates will be working in the continued stay review department. They will be looking at emerging urgent inpatient admissions for ...
Indianapolis, IN · On-site
$30 - $34/hr
Medical
Dental
Vision
We offer a broad range of medical and specialty products. These candidates will be working in the continued stay review department. They will be looking at emerging urgent inpatient admissions for ...
Fort Wayne, IN · On-site
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the ... What You'll Do Clinical Record Audits & Documentation Review * Perform monthly audits of skilled ...
Fort Wayne, IN · On-site
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the ... What You'll Do Clinical Record Audits & Documentation Review * Perform monthly audits of skilled ...
$59.2K is the 25th percentile. Wages below this are outliers.
$34.7K - $60.7K
27% of jobs
The median wage is $85.6K / yr.
$60.7K - $86.7K
24% of jobs
$86.7K - $112.7K
4% of jobs
$112.7K - $138.7K
3% of jobs
$138.7K - $164.7K
2% of jobs
$164.7K - $190.7K
1% of jobs
$190.7K - $216.7K
3% of jobs
$216.7K - $242.7K
6% of jobs
$248.4K is the 75th percentile. Wages above this are outliers.
$242.7K - $268.7K
17% of jobs
$268.7K - $294.7K
7% of jobs
$294.7K - $320.7K
4% of jobs
$34.7K
$156.8K
$320.7K
| Aspect | Medical Review | Medical Coding Specialist |
|---|---|---|
| Required Credentials | Medical degree or clinical background, certifications like CCM or CRC | Certification in coding (CPC, CCS), knowledge of coding systems |
| Work Environment | Healthcare facilities, insurance companies, telehealth | Hospitals, clinics, insurance companies, remote coding |
| Employer & Industry Usage | Used to assess medical necessity, compliance, and documentation | Used to assign billing codes based on medical records |
Medical Review involves evaluating medical records for accuracy, compliance, and appropriateness, often requiring clinical expertise. Medical Coding Specialists focus on translating medical documentation into standardized codes for billing and insurance purposes. While both roles require healthcare knowledge, Medical Review emphasizes clinical assessment, whereas Medical Coding centers on coding accuracy for reimbursement.
The most popular types of Medical Review jobs in Indiana are:
For Medical Review jobs in Indiana, the most frequently searched job titles are:
The top searched job categories for Medical Review jobs in Indiana are:
Cities in Indiana with the most Medical Review job openings:

7.2
Based on 14 frontline employees who took The Breakroom Quiz
430th of 1,060 rated hospitals
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Sourced by ZipRecruiter
Health care and social assistance
1,001 - 5,000 Employees
Seymour, IN, US
1911