Physician Peer Reviewer – Multiple Specialties

Overview

Federal Hearings and Appeals Services (FHAS) is a URAC-accredited Independent Medical Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For the past 30 years, we have provided external peer review services to healthcare organizations, government agencies, insurance companies, and legal entities. The types of case reviews you would perform include medical necessity, standard of care, and Workman’s Compensation claims.

We are currently expanding our elite panel of physicians licensed in the state of TEXAS or NEW MEXICO to assist with independent review claims and appeals in the following specialties:

Addiction Medicine, Allergy & Immunology, Anesthesiology, Cardiovascular Disease, Child & Adolescent Psychiatry, Chiropractic Medicine, Dentist, Dermatology, Emergency Medicine, Endocrinology, Diabetes, & Metabolism, Family Medicine, Gastroenterology, Internal Medicine, Interventional Cardiology, Interventional Radiology & Diagnostic Radiology, Medical Genetics & Genomics, Medical Oncology, Nephrology, Neurological Surgery, Neurology, Obstetrics and Gynecology, Ophthalmology, Orthopedic Surgery, Pain Medicine, Pathology, Pediatrics, Pediatric Cardiology, Pediatric Critical Care Medicine, Developmental-Behavioral Pediatrics, Pediatric Emergency Medicine, Pediatric Gastroenterology, Pediatric Nephrology, Physical Medicine & Rehabilitation, Plastic Surgery, Psychiatry, Psychology *PhD, Radiation Oncology, Radiology, Rheumatology, Sleep Medicine, Thoracic & Cardiac Surgery, Transplant Hepatology, Undersea & Hyperbaric Medicine

Reviewer Benefits

Use your clinical expertise to enhance the quality and integrity of healthcare decisions.
Join a network of top professionals who are leaders in their specialties.
Enjoy competitive compensation, with pay ranging from$150 - $200 percase, depending on type and complexity.
Flexible schedule and the convenience of working remotely.
Training provided to ensure familiarity with our review processes.
Opportunity to protect standards in your medical specialty through evidence-based evaluations.

Responsibilities

Conduct fair and unbiased reviews based on current evidence-based practices and standards of care.
Review medical records, address all required questions, and provide written reports with final determinations on medical necessity, quality of care, and appropriateness of treatment.
Make objective decisions supported by detailed rationales.
Provide assessments on issues such as diagnosis, mechanism of injury, treatment regimens, and disability claims.

Qualifications

Must hold an unrestricted medical license in the state of TEXAS or NEW MEXICO.
Must be board-certified by a medical specialty board recognized by the American Board of Medical Specialties (ABMS).
Must be in active practice with at least 5 years of clinical experience in the required specialties mentioned above.
No history of restrictions, limitations, or malpractice claims.

Job Type

Contract

Work Location

Remote

Federal Hearings And Appeals

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Physician Reviewer Multiple Specialties - TEXAS and NEW MEXICO