Physician Consultant, Independent Contractor

What You’ll Do

• Conduct detailed reviews of medical records to determine appropriateness of treatment, timelines and fact chronology, determination of reasonable and necessary treatment modality, causation, and medical necessity.
• Absess consistency between diagnosis, procedures, and clinical documentation.
• Work collaboratively with program staff to provide expert opinions on care provided to patients.
• Develop formal, professionally written summaries of those opinions based on evidence and accepted practice standards as derived from a review of the supporting documentation.
• Respond to and/or attend hearings as required which may include some travel.

Our Expectations

• Utilize best practices to assess clinical documentation to determine causation, appropriateness of treatment, and determine medical necessity.
• Review clinical documentation for reasonable and necessary treatment modalities including assessment of consistency between diagnosis, procedures, and other treatments.
• Document expert opinion of clinical findings, assessment of care, and utilization of practice standards in a professionally written, formal summary report.

Requirements

• Licensed Medical Doctor or Doctor of Osteopathy, with Board Certification in Orthopedic Surgery.
• Active and unrestricted medical license, in good standing, with a minimum of 3-5 years of experience in performing expert clinical reviews of treatment records including the review of radiographs, procedure reports, treatment notes, and other records in support of causation.
• Extensive clinical expertise in orthopedics and orthopedic surgery and be able to evaluate pre-existing conditions when present; determine from the medical records whether an incident caused or exacerbated a condition; and assess whether such factors contributed to the need for subsequent medical care or treatment.

Findings Documentation

Findings must be documented in a formal medical summary and conclusion addressing whether medical necessity and causation were or were not established.

Experience and Skills

• Demonstrated ability to communicate complex clinical information to diverse audiences.
• Strong written, verbal, visual, and interpersonal communication skills.
• Experience developing formal, professionally written reports which may be used during litigation.
• Ability to manage multiple projects simultaneously and meet deadlines in a fast-paced environment.
• Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Outlook, Teams, and SharePoint) for documentation, reporting, data management, and administrative functions.

Pay & Contract Terms

• Rate: From $200.00 per hour.
• This engagement is contingent upon contract award, satisfactory performance and mutual agreement.
• The selected consultant will operate as an independent contractor and will not be considered an employee.
• The contractor will be responsible for their own taxes, insurance, benefits, and business expenses unless otherwise specified in a written agreement.
• The selected consultant agrees to maintain and provide current certificates of coverage for professional liability insurance ($1M /$1M) and cyber liability insurance ($1M /$1M).