Physician - Medical Case Reviewer - Rockville, MD

Prime Physicians

  • Rockville, MD
  • Permanent
  • Full-time
  • 2 days ago
  • Apply easily
Job Title: Physician - Medical Case ReviewerSpecialty: Pediatrics, Neurology, Immunology, Infectious Disease, Cardiology, PM&R (preferred)
Place of Work: Remote (U.S. only)
Duration: 6 months contract with a possibility of 6 months extension
License/Certifications: Active, unrestricted U.S. MD/DO license; Board Certification required
Education: MD/DO from accredited U.S. or equivalent foreign medical school
Minimum Qualification/Experience: At least 5 years post-residency clinical experience
Responsibilities:
  • Review and analyze medical charts for HRSA (VICP/CICP) cases, focusing on accuracy, completeness, and clinical relevance.
  • Extract critical information from patient records, diagnostic reports, and treatment histories to form evidence-based opinions.
  • Prepare detailed written reports that are clear, concise, and medically sound for program use.
  • Respond promptly to any requests for clarification or additional review from program administrators.
  • Ensure all work adheres to HIPAA compliance and Prime Physicians' internal quality standards.
  • Participate in peer discussions or review panels when required.
Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.

Prime Physicians