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

HCA Healthcare

Transporter Job at HCA Healthcare

**Description****Introduction**Do you have the career opportunities as a(an) Transporter you want with your current employer? We have an exciting opportunity for you to join LewisGale Medical Center which is part of the nation's leading provider of healthcare services... 

LINCOLN TECH

Regional Sales Rep Job at LINCOLN TECH

 ...driving force in the education industry! We are seeking an Outside Sales Representative to prospect, interview, and enroll future...  ...current technology effectively Full-Time Benefits ~ Medical, Dental, Vision ~ Life and Disability Insurance ~401(k) with Company... 

beeline Group

FT Jewelry Merchandising Lead - Rockville/ Bethesda Job at beeline Group

 ...working flexible hours youll be traveling throughout an assigned territory, building relationships with retail store teams, and merchandising the latest trends in fashion jewelry and accessories. This position also acts as the subject matter expert to the Jewelry... 

Pharmacy Careers

Appeals Pharmacist (Remote) Job at Pharmacy Careers

 ...Appeals Pharmacist Ensure Fair Medication Access for Patients A confidential managed care organization is seeking an experienced Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role is ideal for pharmacists who want to leverage... 

WM

CDL Truck Driver Job at WM

 ...Range: $23.00-26.00 based on experience What is the value of a WM job...  ...) requirements as well as all local state and federal requirements...  ...utilizing standard DVIR (Driver Vehicle Inspection Report); notes...  ...Commercial Drivers License B (CDL). The CDL is a requirement...