
201 - 500 employees
⚕️ Healthcare Insurance
💸 Finance
Healthcare Insurance • Finance
MedReview Inc. is a leading provider of advanced payment integrity solutions, specializing in healthcare claims. They work with a wide range of clients, including health plans, government agencies, and payors, to reduce unnecessary waste and save billions of dollars. Their team of highly trained physicians, registered nurses, and certified coders conduct thorough clinical and coding reviews to identify inaccuracies in healthcare claims. MedReview employs proprietary algorithms to analyze complex data and detect suspicious payment trends, offering a unique blend of clinical expertise and advanced technology to maximize efficiencies and improve healthcare cost management.
🕒 July 8
DRG Reviewer conducting reviews of inpatient claims to ensure coding accuracy at MedReview. A fully remote position requiring coding certification and 3+ years of experience.
🕒 June 25
Pricing Resolution Specialist reviewing inpatient medical claims data and processing at MedReview. Ensuring accurate reimbursements and resolving adjudication inquiries.
🕒 June 25
DRG Clinical Physician Reviewer at MedReview focusing on clinical validation and quality assurance. Remote position with responsibilities in supporting healthcare quality and reimbursement integrity.
🕒 June 25
Appeals Specialist II performing research and analysis of appeals in a healthcare setting. Managing grievances and inquiries for timely resolution in compliance with standards.
🕒 February 12
Data Engineer role focusing on data pipeline architecture for healthcare compliance at MedReview. Responsible for building data environments supporting ML models and ensuring compliance standards.
Azure
Python
PyTorch
SQL
Tensorflow