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Job Description As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. You will conduct clinical level review, determine physician level assignment, manage case staging between external physician experts and manage appeal processes within strict deadlines. Duties include but are not limited to: • Conducting reviews up to and including the appeal level. This includes chart screening, writing case summaries, determining documentation adequacy, researching insurer requirements, complete decision templates and preparing final determinations., • Act as a resource for the administrative and clinical staff in training, problem solving, and clarifying determinations., • Training and mentoring new RNs as the project expands., • Understanding multi-state requirements. QUALIFICATIONS: • Knowledge and experience with electronic medical records., • Ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal skills., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative., • New York Licensed Registered Nurse, required., • A bachelor’s degree in nursing OR graduate of an approved Registered Professional Nurses training program, required. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status or military status.

Job Description As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to: • Confirm and verify submitted codes for DRG validation., • Apply national coding standards and regulations to the claims and clinical data., • Provide subject matter input and support agency-wide projects., • Other duties as assigned. This position requires working on-site at the Jericho, NY office. Qualifications: • Excellent interpersonal and communication skills, both written and verbal., • Ability to relate effectively with technical, medical, analytical and administrative personnel., • Proficiency in EHR applications, office technology, and Microsoft applications including Word, Excel, and PowerPoint., • Being able to handle sensitive and confidential information., • Ability to work in a team environment and independently. Education & Experience: • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required, • Bachelor’s degree in healthcare administration or health information management preferred., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing., • Some experience in utilization reviews preferred. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 – $70,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status.

Job Description Requirements As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care. MAJOR DUTIES AND RESPONSIBILITIES: • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria, • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision, • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes, • Provides copies of any criteria utilized in a review with the report in a timely manner, • Returns cases on or before the due date and time, • Makes telephone calls as mandated by the state and/or client specifics, • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job, • Attends all required orientation and training, • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits, • Board certification required, active practice required PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. Benefits • Robust opportunity for supplemental income, • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability, • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions., • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise, • Expanded credentials as an expert in Independent Medical Exams and physician advisor services, • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. Apply for this job

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Day/Evening/Night, rotating weekends and holidays.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to m

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Day/Evening/Night, rotating weekends and holidays.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to m

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Registered Nurse - Interventional Cardiology.Interventional Cardiology (5200).DAYS, Every Other Weekend, Every Other Holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.At Bridgep

Registered Nurse - Inpatient Oncology/Hematology.Inpatient Oncology/Hematology (Sands 600).Day/Evening/Night, Every Other Weekend, Every Other Holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every singl

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.At Bridgep

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.At Bridgep

Rotating D/N shifts, 7a-7p or 7p-7a; Every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going ab

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Rotating Days/Nights; 12-hour shifts; every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going a

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Rotating D/N shifts, 7a-7p or 7p-7a; Every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going ab

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.At Bridgep

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.At Bridgep

Nights 11p-7a; every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.At Bridgep

A mix between Day/Evening (7am-7pm) and Evening/Night (7pm-7am), rotating weekends and holidays.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family member

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Evening (7am-7pm), rotating weekends and holidays.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to m

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.At Bridgep

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

Starting Hourly Rate / Salario por Hora Inicial: $18.Working at Target means helping all families discover the joy of everyday life.We bring that vision to life through our values and culture.Seasonal Specialty Sales Roles: A sales force of specialized consultants who provide tailored suggestions an

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

GHR Healthcare is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Dunkirk, New York.Job Description & Requirements Specialty: OR - Operating Room Discipline: RN Start Date: ASAP Duration: 13 weeks 36 hours per week Shift: 12 hours Employment Type: Travel GHR Healthcare Job

BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department (NYSED)New York State Education Department (NYSED).M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of forc

Nightingale Nurses is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 12/01/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, evenings Employment Ty

Day/Evening/Night, rotating weekends and holidays.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to m

PRN Healthcare is seeking a travel nurse RN Stepdown for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: Stepdown Discipline: RN Start Date: 11/03/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel PRN Healthcare Job ID 1450252

Rotating D/N shifts, 7a-7p or 7p-7a; Every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going ab

Established retail company in Farmingdale, NY is looking for 2 Internet Sales Reps to join their team.This individual will play a key role in managing online sales, engaging with customers across multiple digital platforms, and ensuring a smooth, customer-centric shopping experience.The Internet Sal

Registered Nurse - Inpatient Oncology/Hematology.Inpatient Oncology/Hematology (Sands 600).Day/Evening/Night, Every Other Weekend, Every Other Holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every singl

PRN Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: ICU - Intensive Care Unit Discipline: RN Start Date: 10/27/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Tr

Registered Nurse - Cardiac Step Down Unit.Cardiac - Cardiac Step Down Unit (4400).DAY/EVENING/NIGHT, Every Other Weekend, Every Other Holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in

Assured Nursing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 12/01/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Tra

Registered Nurse - Acute General Medicine/Telemetry.Acute General Medicine (5400/5500).DAYS, Every Other Weekend, Every Other Holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the live

Atlantic Group is hiring a Project Administrative Assistant (Construction) in Nassau County, NY with our client, supporting large-scale infrastructure and building projects.You will manage submittals, RFIs, change orders, and DPW compliance while collaborating with project managers, subcontractors,