Physician ED Claims Reviewer

Role: Physician ED Claims Reviewer Duration: 12 months Required skills: Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review of claims and UM authorization requests for clinical necessity. Minimum of recent (last 2-3 years) 3-5 clinical experience in emergency dept medicine, experience in internal medicine will be considered. Experience in managed care, clinical UM case reviews. Knowledge of claims and medical coding (CPT/HCPCS codes). Proficient working in various systems and applications. Desired skills: Experience/knowledge in utilization management is a plus. Ability to work independently in a fast paced environment. This is a remote position. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Vytwo Technologies is a global leader in enterprise application integration, delivering end-to-end IT consulting and business services for mid to large-scale organizations. We offer a comprehensive suite of solutions including business and technology consulting, Cloud,e-business and digital transformation services, system integration, custom application development, re-engineering, and long-term application support.