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

Vensure Employer Solutions

Furniture Installer - MT - On Site Job at Vensure Employer Solutions

 ...Position Summary We are looking for a Furniture Installer to add to our team. You will be expected to install and assemble office furniture, including systems furniture, case goods, lounge furniture, accessories, etc. within customers' facilities in a professional and... 

Jefferson Health

Radiology Technologist (Part Time, Night) - Cherry Hill Campus Job at Jefferson Health

 ...It includes a wide range of benefits including competitive pay, health and retirement benefits, life and disability insurance, paid time off, educational benefits, financial and mental health resources and much more. Our diverse benefits offerings ensure you have the coverage... 

WebHopers Infotech PVT. LTD.

WordPress Developer Job at WebHopers Infotech PVT. LTD.

# Develop, customize, and maintain WordPress websites and themes. # Create and modify WordPress plugins as needed. # Integrate and manage third-party tools, APIs, and payment gateways. # Optimize websites for performance, SEO, and speed. # Troubleshoot and fix bugs... 

Milliken and Company

Live Oak - Production Supervisor - 1st Shift Job at Milliken and Company

 ...production tracking systems. Prior experience in carpet or textile manufacturing environments. Additional Information: This is a first-shift position (6:00 a.m. 4:00 p.m.) and may include weekend and night shift rotations as required. Milliken is an equal... 

EssilorLuxottica Group

Store - Optometric Technician Job at EssilorLuxottica Group

 ...#FutureInSight with us! GENERAL FUNCTION The Optometric Technician at Target Optical creates exceptional value in the lives of patients by...  ...their needs. Determines the reason for the guest's visit; in store explains how to shop at Target Optical; in Doctors office...