Thoracic and Cardiac Surgery Reviewer (Remote)

Responsibilities

• Cover thorough, unbiased medical chart reviews in accordance with accepted clinical standards and evidence-based guidelines.
• Analyze medical records and supporting documentation to formulate clear, well-reasoned clinical opinions.
• Prepare concise, accurate, and defensible written reports that clearly support review determinations.
• Complete reviews in accordance with MMRO's quality standards and established turnaround times.
• Utilize MMRO review templates and ensure all required elements are addressed completely and accurately.
• Maintain professionalism, objectivity, and confidentiality throughout the review process.
• Respond promptly to communications from MMRO clinical and operations staff.
• Participate in required reviewer orientation and ongoing training activities.
• Incorporate quality feedback provided by MMRO's Medical Director, Associate Medical Director, and clinical team.
• Support continuous quality improvement initiatives through constructive suggestions and collaboration.

Qualifications

• Required: Current, unrestricted M.D. or D.O. license to practice medicine in the United States.
• Required: Active state medical license.
• Required: Board Certification through an American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA) recognized specialty board.
• Required: Minimum of five (5) years of full-time equivalent clinical practice providing direct patient care.
• Required: Strong written communication skills and attention to detail.
• Required: Ability to meet established review deadlines consistently.
• PREFERRED: Prior experience performing peer reviews, independent medical reviews, disability evaluations, utilization review, or expert medical opinions.