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

Passionate Private Duty

Caregiver Job at Passionate Private Duty

 ...Responsibilities: Enables clients to stay in their homes by monitoring and recording patient conditions, and providing support and...  ...services, such as bathing, dressing, and grooming. Helps clients care for themselves by assisting with the use of a cane or walker,... 

Diversified Gas & Oil Corporation

Plant Operator Job at Diversified Gas & Oil Corporation

 ...Diversified Gas & Oil Corporation (DGOC) is an established owner and operator of producing conventional and unconventional natural gas & oil...  ...: POSITION SUMARY & RESPONSIBILITIES: The Plant Operator is responsible for the day-to-day operations and maintenance... 

SGS Consulting

COBOL Mainframe Developer Job at SGS Consulting

Job Responsibilities: ~ Provides application development services typically as a of a project team or in an application support role. Developers analyze, design, code, test and implement systematic solutions to meet customer requirements that adhere to IT standards and...

Aerotek

Medical Device Assembler-1st Shift Job at Aerotek

**** **Assembler - 1st Shift | Irvine, CA (Contract-to-Hire)**Join a cutting-edge medical device team assembling life-saving catheters that help prevent aneurysms. This is your chance to work in a cleanroom environment where precision, teamwork, and purpose come together... 

Numericable

Striping Machine Laborer 2 Job at Numericable

 ...Description HIRING NOW! Weekly pay! Overtime available! Open schedule required! The Roadway Pavement Marking and Striping Laborer 2 is required to perform temporary and permanent pavement marking application. This position requires performing a variety of tasks related...