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

Adelphi Staffing

Hospice and Palliative Medicine Physician Job at Adelphi Staffing

 ...Job Quick Facts: Specialty: Hospice and Palliative Medicine Job Type: Locum Tenens Facility Location: Oregon - Portland, Medford Service Setting: Outpatient - Medford: On-site & Telehealth - Portland: Telehealth Reason For Coverage: Supplemental... 

L'ARCHE Heartland

Community Nurse Job at L'ARCHE Heartland

 ...Community Nurse (Healthcare Coordinator) ROLE DESCRIPTION: POSITION SUMMARY: The Healthcare Coordinator is a part-time role (5-10 hours weekly) that provides oversight to the medical care and needs of the core members (adults with intellectual disabilities)... 

iCIMS

Credentialing Specialist Job at iCIMS

 ...healthcare? Metro PT is a growing Physical Therapy company committed to providing top-quality care to our patients. We're hiring a Credentialing Specialist to join our fast-paced team! You'll play a key role ensuring providers are credentialed, enrolled, and compliant, so... 

Educational Service Unit #5

Spanish Teacher Job at Educational Service Unit #5

 ...Educational Service Unit (ESU) 5, is accepting applications for a potential SPANISH TEACHER position for the 2026-27 school year. Across the state, rural districts are struggling to provide students access to high quality Spanish instruction. ESU 5 meets this need... 

Montgomery Investment Technology, Inc.

Marketing and Social Media Internship Winter 2026 Job at Montgomery Investment Technology, Inc.

 ...applications, valuation consulting services and training seminars.MITI is seeking a marketing intern to join our team. This position is ideal for college students who wish to gain significant experience in market research, branding, target marketing and social networking....