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Remote Physician Reviewer Jobs in Renton, WA (NOW HIRING)

Cardiac Study Center

Medical Coder (Remote)

Tacoma, WA · Remote

$25.81 - $38.40/hr

The position is fully remote after a 90-day in-office training. Candidates must live within 50 ... This role involves collecting and reviewing charges from physicians and ARNPs, assigning ...

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Remote Physician Reviewer information

What is a remote physician reviewer?

A Remote Physician Reviewer is a licensed medical doctor who evaluates medical records, claims, or treatment plans from a remote location, typically for insurance companies, healthcare organizations, or government programs. Their main role is to ensure that medical decisions comply with clinical guidelines and regulatory standards without direct patient interaction. They review documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services. This position allows physicians to leverage their clinical expertise in a non-clinical, flexible work environment. Remote Physician Reviewers often communicate their findings through written reports or recommendations.

What does a remote physician reviewer do?

As a remote physician reviewer, your job is to support an insurance company and evaluate patient records to determine whether or not a physician is regularly making good treatment decisions. In this role, you may check health plans to determine whether or not they cover the requested treatments, help process claims, and examine case files to ensure all relevant information is available. This is a remote job, so you can work from home and telecommute when you need to contact others. Remote physician reviewers frequently use critical thinking skills, suggest alternative treatments, and verify the accuracy of information added to the case management system.

What are the key skills and qualifications needed to thrive as a remote physician reviewer?

To thrive as a Remote Physician Reviewer, you need an active medical license, board certification in your specialty, and thorough knowledge of clinical guidelines and medical terminology. Familiarity with utilization management software, electronic health records (EHRs), and secure telecommunication platforms is essential. Strong analytical skills, attention to detail, and clear written communication set outstanding candidates apart. These abilities ensure accurate, timely clinical reviews and effective collaboration with healthcare teams, supporting quality patient care and regulatory compliance.

What are some common challenges faced by remote physician reviewers, and how can they be effectively managed?

Remote physician reviewers often face challenges such as managing a high volume of case reviews, ensuring timely and accurate documentation, and maintaining clear communication with healthcare teams. Balancing workload while adhering to strict deadlines can be demanding, especially when working independently. To manage these challenges, it's important to establish a structured daily routine, utilize secure electronic health record systems efficiently, and stay proactive in seeking clarification or collaboration with colleagues when needed.

What is the difference between Remote Physician Reviewer vs Remote Medical Coder?

AspectRemote Physician ReviewerRemote Medical Coder
Required CredentialsMedical degree, medical license, clinical experienceCertification in coding (CPC, CCS), training in medical coding
Work EnvironmentHealthcare organizations, insurance companies, telehealth platformsHospitals, billing companies, insurance firms, remote offices
Industry UsageReviewing medical records, determining medical necessityTranslating medical reports into billing codes
Search & Comparison IntentUnderstanding clinical review roles, credential requirementsUnderstanding coding responsibilities, certification needs

Remote Physician Reviewers focus on evaluating medical records and determining medical necessity, requiring clinical credentials and medical licenses. Remote Medical Coders translate medical documentation into billing codes, requiring coding certifications. Both roles are remote healthcare positions but serve different functions within the industry.

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Remote Physician Reviewer jobs near you

Medical Coder (Remote)

Cardiac Study Center

Tacoma, WA • Remote

$25.81 - $38.40/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 3 days ago

New

Job description

Medical Coder   General and Specialty Cardiology

Cardiac Study Center/ Pulse Heart Institute, Puyallup, WA


The Company

Since its creation, Cardiac Study Center (CSC) has contracted with Pulse Heart Institute for outpatient cardiology and billing services. CSC is a proud partner of Pulse and has provided outpatient cardiology services in the Puget Sound Region for over 50 years. In 2016, CSC partnered with MultiCare Health System to create Pulse Heart Institute to work toward improving the health of cardiac patients.

Pulse offers a variety of career opportunities throughout our clinic locations. If you're interested, we may have positions open in our other sub-specialties (Heart Failure, Vascular, Electrophysiology & Device, or Imaging)


Medical Coder Environment, Geography, and Shift details:

This role is full-time, Monday Friday (no weekends). The position is fully remote after a 90-day in-office training. Candidates must live within 50 miles of Tacoma, WA.


Medical Coder Qualifications:

  • CPC or CCS coding credentials are required.
  • Must have effective knowledge of ICD and CPT coding and medical terminology.
  • Knowledge of billing practices and clinic operating policies.
  • Knowledge of accounts receivable practices.
  • Cardiology experience is preferred.


Medical Coder Position Summary


The Medical Coder is crucial for accurately coding the clinic's professional procedures and E&M services. This role involves collecting and reviewing charges from physicians and ARNPs, assigning appropriate CPT and ICD codes, and ensuring timely submissions into the Epic system. Responsibilities include processing charges, registering new patients, updating patient accounts, and maintaining consistent cash flow through daily charge entries. The coder will also coordinate with the coding team to capture all reportable services and resolve any coding or billing issues. Required qualifications include CPC or CCS credentials.


Medical Coder Responsibilities

  • Collect and process charges for physicians and ARNPs using Epic, ensuring electronic submissions are accurate.
  • Audit charts to verify all reportable services are captured.
  • Coordinate with coding staff to assign correct ICD and CPT codes, and modifiers according to established guidelines.
  • Maintain daily updates in Epic to promote consistent cash flow and address coding issues promptly.
  • Manage monthly charge reconciliations and collaborate with the business office to resolve any coding or billing discrepancies.
  • Provide coding guidance to Institute staff and assist with documentation for audits.


Cardiac Study Center/ Pulse Heart Institute Your new work home

Joining our cardiology outpatient clinic means joining a team where compassion, integrity, and a commitment to sustainability guide our every action. Here, you'll find a community deeply rooted in empathy and respect, where every member of our nursing staff, from registered nurses to medical coders, is valued for their unique contributions.

Our environment fosters a profound sense of belonging and support, which is crucial in the high-stakes world of cardiac care. With integrity at the core of our practice, we ensure that our patients' ethical considerations and well-being govern every decision. Additionally, our dedication to sustainable healthcare practices reflects our responsibility towards our patients and the broader environment, emphasizing the importance of long-term wellness and care. At our clinic, you're not just joining a workforce; you're aligning with a family committed to excellence in cardiac health, making a meaningful difference in the lives of the communities we serve.


Pay and Benefit Expectations

Cardiac Study Center/ Pulse Heart Institute provides a comprehensive benefits package, including a competitive salary, medical, dental, and retirement benefits, and paid time off. As various pay transparency laws require, CSC/ PHI shares a competitive compensation range for candidates hired into each position. The starting pay for this position is $25.81, and the pay scale is $25.81. - $38.40 USD for Medical Coders.

However, pay is influenced by factors specific to applicants, including but not limited to skill set, level of experience, and certification(s) and/or education.

Requisition ID: 00113