MedReview
MedReviewUnited States
Posted October 23, 2025
220000 - 230000 USD year
Full Time
About the Company
MedReview Inc., a physician-led payment integrity company, specializes in thorough claim reviews and audits to ensure accurate billing. Leveraging advanced algorithms enriched by machine learning and clinical data, MedReview offers comprehensive services including DRG validations, hospital bill audits, and quality management, resulting in significant savings for clients while maintaining the lowest appeal overturn rate in the industry.
Job Description
The Medical Reviewer will be responsible for reviewing hospital medical records submitted for DRG Clinical Validation Review, ensuring appropriate diagnostic billing and supporting medical documentation. The role involves analysis, writing, and collaboration to identify potential readmissions and assist with independent peer review. It requires a focus on providing accurate clinical information to support best clinical practices.
Requirements
- MD/DO degree from an accredited medical school
- Experience in clinical practice with a high utilization management, DRG review, peer review, or claim review experience
- Active and valid US medical license
- Documentation of re-licensure
- Must be located within a US state territory
Benefits
- Excellent medical, dental, and vision plan options
- 401(k) with Employer Match
- Generous Paid Time Off
- Wellness program
- Learning & Development opportunities
- Salary Range
