Contract Physician – Medical Necessity Review (Genetic Testing)

Added
2 hours ago
Type
Contract
Salary
Salary not provided

Related skills

telehealth hipaa state_regulations payer_requirements

📋 Description

  • Review clinical documentation from a Genetic Counselor after patient history intake.
  • Assess and determine medical necessity for genetic testing.
  • Review and authorize testing orders and sign required documents.
  • Ensure compliance with state regulations, payer requirements, and internal protocols.
  • Maintain HIPAA compliance and documentation standards.

🎯 Requirements

  • Active, unrestricted medical license in good standing. KS/AR prioritized.
  • Medicare enrollment required; KS/AR Medicaid enrollment preferred or willing to enroll.
  • Board Certified in internal medicine, family medicine, pediatrics, or relevant primary care.
  • Ability to independently evaluate clinical documentation and render medical necessity determinations.
  • Comfortable working in a fully asynchronous, technology-enabled workflow.
  • Telehealth or virtual care experience preferred.

🎁 Benefits

  • Fixed payment per review
  • Flexible schedule
  • 100% Remote
  • Professional Liability Insurance
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