Job type part-time contract
Full job description
Independent contractor – appeals medical director
Office location: remote
Commitment: part-time/flexible
Versalus health combines data-driven solutions with clinical operations support to hospitals and health systems to help them enhance medicare compliance and improve financial performanceVersalus health was founded by drsRobert corrato, joe zebrowitz, and thomas mccarter, the team that founded and led executive health resourcesThese industry leaders established the standard for reviews of medicare short-stay cases and remained trusted advisors to hospitals across the country.
As a medical director for versalus health, you’ll have the unique opportunity to evaluate practice patterns across the country while utilizing your medical knowledge and gaining experience as an expert advisor to versalus health’s client hospitalsYou will perform clinical case reviews and provide recommendations that focus on establishing the appropriate admission statusVersalus health offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable scheduleThis opportunity allows for the work/life balance you desire while expanding your knowledge base in utilization review.
The impact you will have:
Versalus health is led by like-minded clinicians who share the same innate calling to helpOver the last 20 years, many hospitals have struggled financially due to complex regulations and policy changes set forth by medicare and private payer organizationsVersalus health physicians lead challenging and rewarding careers by providing our hospital clients with guidance to improve compliance and ensure appropriate payment for the care deliveredYour direct impact will not only help the hospitals we serve, but also the communities that rely on their services and physicians providing hands-on patient care.
In this role you will:
Support versalus health’s client hospitals appeals process by reviewing chart information for denied cases
Create an appropriate clinical argument to write an appeal letter
Document and record findings in the versalus health information system
Commit to writing 15-20 appeals letters each per week
Do you have what it takes:
Md or do degree with strong clinical knowledge
Active unrestricted medical license in at least one state within the united states
Required specialization in adult internal medicine, emergency medicine, hospitalist, nephrology, or infectious disease; board certification (preferred)
Excellent verbal and written communication skills
Computer proficient
Physical requirements:
May be expected to sit at a desk for long hoursRepetitive movement of hands and fingers – typing and/or writingOccasional standing, walking, stooping, kneeling or crouchingAbility to reach with hands and arms, talk and hearExert up to 20 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects
Versalus health is an equal opportunity employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law.
Website: www.versalushealth.com
Facebook: www.facebook.com/versalushealth/
Keywords: physician, md; do; non-clinical; physician advisor; utilization management; utilization review; case management; cdi
Work location:
Fully remote work remotely
Yes
Job types: part-time, contract
Medical specialty:
Critical & intensive care
Emergency medicine
Hospital medicine
Internal medicine
Primary care
Work location: remote
Hiring insights
Hiring 3 candidates for this role
Job activity
Employer reviewed job 8 days ago
Posted 7 days ago
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