Job Description

Physician Reviewer - Texas Counter Affidavit Work (Orthopedic Surgery) This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor. Overview Orthopedic Surgeon in the Dallas or Houston area with a Texas license is required. This role involves counter affidavit, testimony, and deposition work performed remotely; compensation is on a per-case basis as a 1099 contractor. 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 to support sound and objective decisions; refrains from using case studies or cohorts due to 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. Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job (TX license required). 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. Qualifications Orthopedic Surgeon located in the Dallas or Houston area with a valid Texas medical license and experience in testimony/deposition/counter affidavit work. Access to a Texas notary or availability for online notaries. Strong experience analyzing CPT codes in conjunction with state fee schedule reductions across multiple jurisdictions, with an in-depth understanding of CPT codes and state-specific fees. Security and Compliance Please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment. Benefits We offer generous Paid Time Off, an excellent benefits package, and a competitive salary. Apple equipment and a media stipend are provided for remote workspace. Our training program helps you come up to speed quickly. About Dane Street A fast-paced, Inc. 500 Company with a high-performance culture. We process over 200,000 insurance claims annually for leading national and regional Workers' Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers. We provide customized Independent Medical Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process. #J-18808-Ljbffr Dane Street

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