Job details

Board Certified Orthopedic Surgery- Physician Advisor - IME/Record Review

Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Candidate will hold a Michigan Medical license and be Board Certified in Orthopedic Surgery Medicine.

**Office location MUST be within 45 miles of Escanaba, MI**

As a Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care.

MAJOR DUTIES AND 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 that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their 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
Makes telephone calls as mandated by the state and/or client specifics
Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
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

Board certification required, active practice required

PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment.

Robust opportunity for supplemental income
Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability
No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions.
Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise
Expanded credentials as an expert in Independent Medical Exams and physician advisor services
Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal

Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.

What You Should Know About Board Certified Orthopedic Surgery- Physician Advisor - IME/Record Review, Dane Street, LLC

Dane Street is looking for a Board Certified Orthopedic Surgery Physician Advisor for Independent Medical Exams (IME) and Record Review to join our expanding physician panel! This exciting telework opportunity allows you to customize your caseload to suit your schedule while earning supplemental income as an independent contractor. As a Physician Reviewer, you’ll engage in a variety of responsibilities, including reviewing medical records, addressing client queries, and providing interpretations of medical necessity based on established national and state guidelines. Your role will involve meticulous attention to detail, ensuring that your rationale is clear and well-supported—qualities we value highly at Dane Street. You’ll have the freedom to dictate the volume of work, select the services and case types that fit your availability, and enjoy predictable work hours. Rest assured, no doctor/patient relationships are formed, as your expertise will be applied solely in providing advisory opinions. With this position, you’ll enhance your industry knowledge in medical necessity and utilization review while expanding your credentials as an expert in IME services. Plus, Dane Street provides comprehensive support, including fully prepared medical records, streamlined case flow, and transcription services—all designed to make your experience seamless and productive. If you're located within 45 miles of Escanaba, MI, and possess a Michigan Medical license, we encourage you to consider this robust opportunity with Dane Street, where you can contribute your skills and make a difference remotely.

Frequently Asked Questions (FAQs) for Board Certified Orthopedic Surgery- Physician Advisor - IME/Record Review Role at Dane Street, LLC

What are the primary responsibilities of a Board Certified Orthopedic Surgery Physician Advisor at Dane Street?

As a Board Certified Orthopedic Surgery Physician Advisor at Dane Street, your primary responsibilities will include reviewing medical records to address client-specific questions, interpreting the medical necessity of services, and ensuring compliance with nationally recognized evidence-based guidelines. You'll need to provide clear and concise rationale for your determinations, utilizing current criteria from national, state, and professional association guidelines.