... join our remote MDS division as a Clinical Reimbursement Specialist . Clinical Reimbursement ... The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized ...
... join our remote MDS division as a Clinical Reimbursement Specialist . Clinical Reimbursement ... The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized ...
... join our remote MDS division as a Clinical Reimbursement Specialist . Clinical Reimbursement ... The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized ...
... join our remote MDS division as a Clinical Reimbursement Specialist . Clinical Reimbursement ... The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized ...
... join our remote MDS division as a Clinical Reimbursement Specialist . Clinical Reimbursement ... The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized ...
... join our remote MDS division as a Clinical Reimbursement Specialist . Clinical Reimbursement ... The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized ...
Remote Chiropractic Utilization Review information
See Rochester, MN salary details
$21.75 - $26.15
2% of jobs
$26.15 - $30.54
9% of jobs
$33.55 is the 25th percentile. Wages below this are outliers.
$30.54 - $34.94
21% of jobs
The median wage is $38.50 / hr.
$34.94 - $39.34
23% of jobs
$39.34 - $43.74
13% of jobs
$47.16 is the 75th percentile. Wages above this are outliers.
$43.74 - $48.14
10% of jobs
$48.14 - $52.53
8% of jobs
$52.53 - $56.93
5% of jobs
$56.93 - $61.33
5% of jobs
$61.33 - $65.73
2% of jobs
$65.73 - $70.13
2% of jobs
$21
$42
$70
How much do remote chiropractic utilization review jobs pay per hour?
As of Jul 26, 2026, the average hourly pay for remote chiropractic utilization review in Rochester, MN is $42.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $49.38 per hour, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a Remote Chiropractic Utilization Review specialist, and why are they important?
To thrive as a Remote Chiropractic Utilization Review specialist, you need a Doctor of Chiropractic degree, a valid state license, and comprehensive knowledge of chiropractic procedures and medical necessity guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certification such as Certified Professional Utilization Review (CPUR) is often required. Strong analytical skills, attention to detail, and effective communication are crucial for evaluating clinical documentation and collaborating with providers. These skills ensure accurate, evidence-based reviews that support appropriate patient care and compliance with insurance standards.
What is the difference between Remote Chiropractic Utilization Review vs Remote Chiropractic Billing Specialist?
| Aspect | Remote Chiropractic Utilization Review | Remote Chiropractic Billing Specialist |
|---|---|---|
| Primary Role | Assessing medical necessity and appropriateness of chiropractic treatments | Managing billing, coding, and insurance claims for chiropractic services |
| Required Credentials | Chiropractic license, possibly certifications in utilization review | Medical billing certifications, knowledge of coding and insurance policies |
| Work Environment | Remote, healthcare or insurance companies | Remote, healthcare providers or billing companies |
| Industry Usage | Used by insurance companies and healthcare organizations to approve treatments | Used by billing companies and healthcare providers for claims processing |
Remote Chiropractic Utilization Review focuses on evaluating the medical necessity of chiropractic treatments, while Remote Chiropractic Billing Specialist handles billing, coding, and insurance claims. Both roles are remote and require healthcare knowledge, but they serve different functions within the chiropractic industry.
What is a Remote Chiropractic Utilization Review?
A Remote Chiropractic Utilization Review is a process where licensed chiropractors or healthcare professionals assess the necessity, efficiency, and appropriateness of chiropractic care provided to patients, but do so remotely—often from home or a centralized office. This review typically involves examining patient records, treatment plans, and billing information to ensure that care meets established clinical guidelines and insurance requirements. The goal is to improve patient outcomes, prevent unnecessary treatments, and ensure that services billed to insurance are medically necessary. Remote reviews use secure online systems and may require coordination with treating chiropractors, insurance companies, and other healthcare providers.
What are some common challenges faced in a remote Chiropractic Utilization Review role, and how can they be managed?
One of the main challenges in a remote Chiropractic Utilization Review role is effectively evaluating clinical documentation to ensure treatment appropriateness without direct patient interaction. Communication with providers can sometimes be limited or delayed, requiring strong written and verbal skills to clarify cases efficiently. Managing time and workflow independently is crucial, as the workload may fluctuate throughout the week. Staying updated with payer guidelines and evidence-based practices is also essential for accurate reviews. Building strong virtual collaboration with team members and providers can help overcome these challenges and maintain high-quality standards.
What job categories do people searching Remote Chiropractic Utilization Review jobs in Rochester, MN look for? The top searched job categories for Remote Chiropractic Utilization Review jobs in Rochester, MN are:
What cities near Rochester, MN are hiring for Remote Chiropractic Utilization Review jobs? Cities near Rochester, MN with the most Remote Chiropractic Utilization Review job openings:
Other
Medical, Dental, Life, Retirement, PTO
Posted 18 days ago
Job description
Overview
MDS Solutions, a division of Key Rehabilitation, is looking for fun, energetic, and self-driven team members to join our remote MDS division as a Clinical Reimbursement Specialist.
Clinical Reimbursement Specialist (CRS)The Clinical Reimbursement Specialist (CRS) plays a critical role in supporting clients through specialized project work, including conducting RAI assessments, developing comprehensive care plans, and delivering targeted education and training to MDS Coordinators on the Resident Assessment Instrument (RAI) process. This work is performed in strict alignment with applicable laws, regulations, and company standards. The CRS also reviews reimbursement systems for PDPM and Case Mix to ensure accurate and optimized reimbursement. Additionally, the CRS provides support with interim long-term and short-term contract coordination, ensuring the smooth completion of these efforts
About Us:
At Key Rehab, we're shaking up rehab services with a fresh, standout approach. We offer a wide range of services, stick to top-notch systems, and work in strategic locations to get the best results for our patients and support our clients' goals. We're all about clear communication, using our deep experience to deliver therapy that's both effective and affordable. Our reputation is built on great patient care, happy clients and staff, and solid management. We are proud to exceed expectations for patients, families, healthcare providers, and businesses.
We prioritize both exceptional patient care and the well-being of our employees. We are committed to delivering compassionate, results-driven therapy while offering the flexibility and comprehensive benefits needed to thrive in today's healthcare environment. Our team is large enough to offer competitive pay and benefits but small enough to ensure personalized attention and support for your career aspirations.
Whether you're looking for a role that accommodates family commitments, travel plans, home projects, or future savings, we provide tailored solutions to fit your lifestyle. Join us and experience a workplace that values your individual needs and career goals. Come experience a rewarding career where you're valued and supported every step of the way.
We offer a creative, engaging, and flexible work environment, alongside a comprehensive benefits package designed to support your success and well-being:
- Competitive salaries with bonus opportunities
- Ample opportunities for promotion, transfer, and advancement
- Work that is meaningful, fulfilling, and provides high job satisfaction
- Reasonable working hours promoting work-life balance
- Continuing education (CE) opportunities for ongoing professional development
- Generous paid time off
- Comprehensive health, dental, and life insurance packages
- 401K with discretionary matching
- Mileage and licensure reimbursements
- Flexible Spending Account (FSA) and Health Savings Account (HSA) options
- Serve as a trusted advisor to healthcare agencies and facilities, offering expert guidance and insights to optimize their operations.
- Assist clients in assessing, planning, developing, and implementing systems and processes related to reimbursement, tailored to the specific needs and contracts established with each client.
- Provide consulting services and technical expertise, including interim MDS management, ensuring providers receive the support they need to achieve optimal outcomes.
- Stay up-to-date on professional standards of clinical care, federal and state regulations, QM measures, and the RAI process to ensure the delivery of accurate, compliant, and effective solutions.
- Deliver high-quality, professional services that encompass reimbursement optimization, staff education, in-depth research, system analysis, creative problem-solving, and the presentation of actionable recommendations to clients.
- Identify and address training needs, developing and conducting training sessions or in-service programs as requested by clients to enhance staff competency and performance.
- Operate within the defined scope of work, maintaining strict adherence to client agreements and expectations.
- Uphold client confidentiality and ensure full compliance with HIPAA regulations, safeguarding sensitive information throughout the engagement.
Minimum Qualifications:
- Bachelor's degree in nursing from an accredited college or university, with at least five (5) years of clinical experience, including 3+ years specializing in the RAI process.
- Current and unrestricted RN ,along with active RAC-CT certification, ensuring adherence to industry standards and best practices.
- Possesses exceptional critical thinking skills, with the proven ability to make informed decisions, demonstrate sound clinical judgment, and apply expert knowledge in quality improvement concepts and processes.
- Demonstrates strong leadership abilities and excels in interpersonal communication, fostering collaboration, and guiding teams to achieve optimal clinical outcomes.
Key Rehab is an equal opportunity employer/service provider.
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Employment Type: OTHER