Oncology-Independent Medical Examiner (IME)

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise to review insurance appeals, as well as prospective and retrospective claims. The Physician Reviewer will interpret the medical necessity of services provided by other healthcare professionals, ensuring compliance with client-specific policies, nationally recognized evidence-based guidelines, and standards of care. MAJOR DUTIES AND RESPONSIBILITIES: Review all medical records and address each question posed by the client using client-specific criteria or other nationally recognized evidence-based criteria. Ensure that the rationale for each determination is clear, concise, and supported by adequate documentation. Identify, critique, and utilize current criteria and resources such as national, state, and professional association guidelines, as well as peer-reviewed literature, to support sound and objective decision-making. Avoid reliance on case studies or cohorts with limited sample sizes. Provide copies of any criteria used in the review along with the report in a timely manner. Return cases on or before the due date and time. Make telephone calls as mandated by state and/or client specifics. Maintain proper credentialing, state licenses, and any required certifications or requirements necessary for the role. Attend all required orientation and training sessions. Perform additional duties as assigned, including addressing quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits. Board certification and active practice are required. PLEASE BE AWARE:

In the interest of security, Dane Street will never conduct interviews via text or request checks from candidates for any reason, including equipment purchases. Benefits: Robust opportunity for supplemental income Flexible schedule and predictable work hours—choose your services and case types, dictate volume, and conduct exams and reviews based on your availability No doctor/patient relationship is established; these are advisory-only opinions Enhance your industry expertise in medical necessity and utilization review/management Expand your credentials as an expert in IMEs and physician advisor services Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal

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