Senior Medical Reviewer Job at DayToDay Health, Rancho Cucamonga, CA

d201S09tN2Y4MmhjY2cvaFdyS3Y5UW9jdGc9PQ==
  • DayToDay Health
  • Rancho Cucamonga, CA

Job Description

Join a team dedicated to "healing and inspiring the human spirit" as a Senior Special Investigations Unit Medical Reviewer. This role involves conducting clinical reviews of medical records and claims to identify coding errors and potential healthcare fraud. You will mentor other reviewers and contribute to quality program goals.

Perks Include

  • CalPERS retirement
  • Generous paid time off
  • Medical, dental, and vision insurance
  • Wellness programs
  • Career advancement opportunities
  • Competitive salary with merit increases

Qualifications: 5 years of medical review experience, a relevant degree or equivalent experience, and certification as a CPC, CPMA, or CCS. Active California nursing license required.

Job Tags

Similar Jobs

Dignity Health

RN Clinical Nurse Specialist Job at Dignity Health

**Job Summary and Responsibilities**As a Clinical Nurse Specialist, you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients' lives.Every day you will collaborate on comprehensive screenings... 

Capital One

Principal Associate, Workplace Security Job at Capital One

 ...Overview WeWork Reforma Latino (97001), Mexico, Ciudad de Mexico, Ciudad de Mexico Principal Associate, Workplace Security At Capital One, we dare to dream, disrupt and deliver a better way. Our goal is simplebring ingenuity, simplicity and humanity to an industry... 

Capital One

Manager, Process Management - Banker Efficiency & Effectiveness, Business Banking Job at Capital One

 ...Overview Manager, Process Management - Banker Efficiency & Effectiveness, Business Banking Capital One, a Fortune 500 company and one of the nations top 10 banks, offers a broad spectrum of financial products and services to consumers, small businesses and commercial... 

Braintrust Data, Inc.

Documentation Engineer San Francisco Job at Braintrust Data, Inc.

 ...Braintrust gives builders the visibility to understand how AI behaves in production and the tools to improve it. Teams at Notion, Stripe, Zapier, Vercel, and Ramp use Braintrust to compare models, test prompts, and catch regressions turning production data into... 

Game Day USA

Remote Live Chat Agent Work From Home Job at Game Day USA

Job OverviewWe are seeking a friendly, detail-oriented Remote Live Chat Agent to provide real-time customer support through online chat. You will be responsible for answering customer inquiries, resolving issues, and ensuring a positive customer experienceall from the...