Medical Reviewer – Part-Time

Job not on LinkedIn

🕒 April 2

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Logo of YepCode

YepCode

11 - 50 employees

Founded 2021

☁️ SaaS

🤖 Artificial Intelligence

🔌 API

SaaS • Artificial Intelligence • API

YepCode is a SaaS platform that enables developers to build, execute, and monitor integrations and automations using source code in a secure, serverless environment. It provides tools for running AI-generated code, managing dependencies, and connecting to various APIs or databases without the complexities of traditional DevOps. With a focus on a developer-first experience, YepCode allows for easy integration and automation, ensuring that coding work is streamlined and efficient.

📋 Description

• Review medical records, treatment plans, and billing documents for medical necessity and coding accuracy. • Validate if clinical documentation supports prescribed procedures or medications. • Prepare concise medical justifications for approval, denial, or modification of claims. • Identify potential fraud, abuse, or errors in medical claims. • Respond to query letters from insurers or legal teams within defined turnaround times. • Maintain strict confidentiality of patient and provider data. • Use internal web-based review platforms (training provided).

🎯 Requirements

• Education: MBBS, MD, BDS, BAMS, BHMS, PharmD, or equivalent • License: Active registration with a recognized medical/dental council • Experience: 0–3 years (freshers can apply; training provided) • Technical: Basic computer skills; familiarity with MS Office or Google Workspace • Soft Skills: Attention to detail, analytical thinking, written English proficiency

🏖️ Benefits

• Flexible work arrangements • Monthly payment via bank transfer / PayPal

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