Reviews medical records/case file, writes a decision that is clear, concise, and impartial and supports the determination made, and documents review * Makes sound, independent decisions based on ...
Reviews medical records/case file, writes a decision that is clear, concise, and impartial and supports the determination made, and documents review * Makes sound, independent decisions based on ...
Kaiser Permanente Nevada - Medical Director, Utilization and Referral Management and Authorizations
Sparks, NV · On-site
This includes: o The referral management unit o Review services (preservice, RRG) o The clinical ... Medical degree plus completion of approved residency/fellowship training in Internal Medicine or ...
Kaiser Permanente Nevada - Medical Director, Utilization and Referral Management and Authorizations
Sparks, NV · On-site
This includes: o The referral management unit o Review services (preservice, RRG) o The clinical ... Medical degree plus completion of approved residency/fellowship training in Internal Medicine or ...
Physician Reviewer-Radiology (Full-Time)
Carson City, NV · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Physician Reviewer-Radiology (Full-Time)
Carson City, NV · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Physician Reviewer-Radiology (Part Time)
Carson City, NV · On-site
$95 - $100/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Physician Reviewer-Radiology (Part Time)
Carson City, NV · On-site
$95 - $100/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Carson City, NV · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Carson City, NV · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Carson City, NV · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Carson City, NV · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Carson City, NV · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Carson City, NV · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Medical Billing Specialist
Reno, NV · On-site
$18.25 - $23.50/hr
This role includes reviewing documentation from ophthalmologists, ensuring correct use of CPT and ... Vast knowledge of Medical terminology.1 * Strong interpersonal skills, with the ability to ...
New
Quick apply
Medical Billing Specialist
Reno, NV · On-site
$18.25 - $23.50/hr
This role includes reviewing documentation from ophthalmologists, ensuring correct use of CPT and ... Vast knowledge of Medical terminology.1 * Strong interpersonal skills, with the ability to ...
New
Medical Sales Rep - Entry Level
Reno, NV · On-site
... reviewing available information provided by the product management team. * Calling on territory ... Medical Sales Rep Basic Requirements: * Must be authorized to be employed in the United States
Quick apply
Medical Sales Rep - Entry Level
Reno, NV · On-site
... reviewing available information provided by the product management team. * Calling on territory ... Medical Sales Rep Basic Requirements: * Must be authorized to be employed in the United States
Appeals Professional III (Licensed Clinician)
Carson City, NV · On-site
$58K - $79K/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 ...
Appeals Professional III (Licensed Clinician)
Carson City, NV · On-site
$58K - $79K/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 ...
Medical Director
Reno, NV · On-site
Conduct medical record reviews and chart audits, developing procedures and recommendations based on findings. * Support recruitment, hiring, and training of new medical staff members. * Support the ...
Medical Director
Reno, NV · On-site
Conduct medical record reviews and chart audits, developing procedures and recommendations based on findings. * Support recruitment, hiring, and training of new medical staff members. * Support the ...
This position offers the rare opportunity to apply your medical knowledge in a new way- you'll review and evaluate medical documentation for disability claims in a collaborative, team-oriented ...
This position offers the rare opportunity to apply your medical knowledge in a new way- you'll review and evaluate medical documentation for disability claims in a collaborative, team-oriented ...
Certified Medical Assistant
Reno, NV · On-site
Certified Medical Assistant We are currently looking for a patient-focused Certified Medical ... In EMR, review tasks ensuring created if indicated, create tasks as needed. * Complete disability ...
Quick apply
Certified Medical Assistant
Reno, NV · On-site
Certified Medical Assistant We are currently looking for a patient-focused Certified Medical ... In EMR, review tasks ensuring created if indicated, create tasks as needed. * Complete disability ...
Medical Assistant - Medical Group Robb
Reno, NV · On-site
$17.75 - $22.75/hr
Medical Assistants in these settings will be required to do more during the rooming process; from reviewing medications, to goal setting, to patient education. They will also be expected to assist ...
Medical Assistant - Medical Group Robb
Reno, NV · On-site
$17.75 - $22.75/hr
Medical Assistants in these settings will be required to do more during the rooming process; from reviewing medications, to goal setting, to patient education. They will also be expected to assist ...
Medical Assistant - Medical Group Robb
Reno, NV · On-site
$19.16 - $26.82/hr
Medical Assistants in these settings will be required to do more during the rooming process; from reviewing medications, to goal setting, to patient education. They will also be expected to assist ...
Medical Assistant - Medical Group Robb
Reno, NV · On-site
$19.16 - $26.82/hr
Medical Assistants in these settings will be required to do more during the rooming process; from reviewing medications, to goal setting, to patient education. They will also be expected to assist ...
Medical Assistant - Medical Group Robb
$17.75 - $22.75/hr
Medical Assistants in these settings will be required to do more during the rooming process; from reviewing medications, to goal setting, to patient education. They will also be expected to assist ...
Medical Assistant - Medical Group Robb
$17.75 - $22.75/hr
Medical Assistants in these settings will be required to do more during the rooming process; from reviewing medications, to goal setting, to patient education. They will also be expected to assist ...
Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or state laws ...
Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or state laws ...
Medical Receptionist/Medical Assistant - ENT
Truckee, CA · On-site
$29.37/hr
For further information, please review the Know Your Rights notice from the Department of Labor.
Medical Receptionist/Medical Assistant - ENT
Truckee, CA · On-site
$29.37/hr
For further information, please review the Know Your Rights notice from the Department of Labor.
Handles flow of patient reports, ensuring appropriate practitioner review and signatures. * Files/scan reports in the medical record, and files and retrieves charts into and from filing system.
Handles flow of patient reports, ensuring appropriate practitioner review and signatures. * Files/scan reports in the medical record, and files and retrieves charts into and from filing system.
Medical Assistant
$17.75 - $22.75/hr
Medical Assistants in these settings will be required to do more during the rooming process; from reviewing medications, to goal setting, to patient education. They will also be expected to assist ...
Medical Assistant
$17.75 - $22.75/hr
Medical Assistants in these settings will be required to do more during the rooming process; from reviewing medications, to goal setting, to patient education. They will also be expected to assist ...
Medical Reviewer information
See Reno, NV salary details
$11.74 - $19.78
14% of jobs
$24.21 is the 25th percentile. Wages below this are outliers.
$19.78 - $27.82
21% of jobs
The median wage is $31.98 / hr.
$27.82 - $35.86
30% of jobs
$35.86 - $43.91
9% of jobs
$46.59 is the 75th percentile. Wages above this are outliers.
$43.91 - $51.95
3% of jobs
$51.95 - $59.99
13% of jobs
$59.99 - $68.03
1% of jobs
$68.03 - $76.07
4% of jobs
$76.07 - $84.11
0% of jobs
$84.11 - $92.15
0% of jobs
$92.15 - $100.19
5% of jobs
$11
$41
$100
How much do medical reviewer jobs pay per hour?
What does a medical reviewer do?
As a medical reviewer, your primary responsibilities are to review medical records to ensure accuracy. You address any issues or errors that you find with your supervisor’s assistance and contact medical providers to update information about patients. You may also audit medical files to determine whether the medical provider’s documentation complies with all federal and state regulations that affect accreditation, or if the facility qualifies for specific federal funding or participation in programs like Medicare. Medical reviewers most commonly work for an internal department at a hospital, medical care facility, or an outside organization, such as an insurance company or government agency.
What are the key skills and qualifications needed to thrive as a medical reviewer, and why are they important?
How does a medical reviewer typically collaborate with other departments during the drug approval process?
What is the difference between Medical Reviewer vs Medical Writer?
| Aspect | Medical Reviewer | Medical Writer |
|---|---|---|
| Required Credentials | Medical degree (MD, DO, PharmD), licensure often preferred | Background in life sciences, writing skills, often with a degree in related fields |
| Work Environment | Pharmaceutical companies, CROs, regulatory agencies, hospitals | Pharmaceutical companies, marketing agencies, publishing firms |
| Employer & Industry Usage | Review clinical data, regulatory documents, ensuring accuracy | Create scientific content, clinical study reports, marketing materials |
Medical Reviewers primarily verify the accuracy and compliance of clinical and regulatory documents, requiring medical credentials. Medical Writers focus on creating clear, accurate scientific content, often with a background in life sciences. Both roles are essential in the healthcare and pharmaceutical industries but serve different functions in the documentation process.
What are the most commonly searched types of Medical Reviewer jobs in Reno, NV?
The most popular types of Medical Reviewer jobs in Reno, NV are:
What are popular job titles related to Medical Reviewer jobs in Reno, NV?
For Medical Reviewer jobs in Reno, NV, the most frequently searched job titles are:
What cities near Reno, NV are hiring for Medical Reviewer jobs?
Cities near Reno, NV with the most Medical Reviewer job openings:

Medicare Appeals Reviewer I (Dispute Resolution Reviewer I)
Carson City, NV • On-site
Other
This job post has expired today. Applications are no longer accepted.
Job description
Medicare Appeals Reviewer I (Dispute Resolution Reviewer I)
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 Appeals Reviewer I (Dispute Resolution Reviewer I) to support our federal client. In this role, you will review Medicare enrollment appeal and rebuttal cases, evaluate supporting documentation and evidence, and issue independent determinations based on applicable laws, regulations, policies, and guidelines.
This role will work under general supervision, with moderate latitude for initiative and independent judgment.
This is a remote position that can be based anywhere in the United States; candidates must reside in the United States. Must be able to work on a rotating schedule on weekends and holidays.
Responsibilities
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Reviews medical records/case file, writes a decision that is clear, concise, and impartial and supports the determination made, and documents review
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Makes sound, independent decisions based on medical evidence in accordance with statutes, regulation, rulings, and policy
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Responds to and ensures that all issues raised by the beneficiary, representative, supplier, and provider have been addressed
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Provides a fair and impartial decision based on current evidence, regulations, policies, and procedures
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Conducts research using online federal regulations, contract policy, standards of medical practice, contract manuals, coverage issues manuals, medical literature, and other related resources to complete an accurate and well-supported decision
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Stays abreast of changes in regulations, medical and healthcare practices, policies and procedures
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Participates in special projects and performs other duties as assigned
Requirements
Required Experience and Skills
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One (1) year of Medicare appeals, medical review, clinical, healthcare regulatory interpretation/application, healthcare compliance or related experience in a healthcare setting
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Knowledge and experience following HIPAA regulations and personally identifiable information (PII).
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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 a drug screen, as required by the 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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Experience working within the federal public health agency environment.
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Experience in appeals and billing.
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Previous CMS guidelines or manual knowledge, particularly with the No Surprises Act.
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Medical Coding certified.
Education and Training
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Associate’s degree or 60 or more credit hours towards a Bachelor’s degree from an accredited college or university in healthcare or related discipline.
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Experience in Medicare appeals, medical review, clinical, or other related experience in a healthcare setting may be substituted for an Associate’s degree on a year-for-year basis (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent)
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, 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 understand and provide feedback as we develop 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, status as a protected veteran or any other status protected by applicable federal, state, or local law. Tanaq complies with the Drug-free Workplace Act of 1988 and 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 ensure the integrity of the interview process, the use of artificial intelligence (AI) tools to generate or assist with responses during phone, in person and virtual interviews is not allowed. However, candidates who require a reasonable accommodation that may involve AI are required to contact us prior to 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