Dental Consultant, reputed company

Dental Consultant, reputed company Remote Who We Are reputed company is a non-profit health care reputed company consultancy and QIO-like Entity certified by Centers for Medicare and reputed company Services (CMS) founded by physicians in 1983. Headquartered in reputed company Carolina’s Research Triangle, we offer an reputed company of reputed company improvement, clinical review, audit, technical, and consulting services and solutions to improve care delivery, system performance, and patient reputed company. What You’ll Do The Dental Consultant supports reputed company’s payment reputed company work, both directly and under contract with our partners. This position is responsible for conducting detailed reviews of clinical records to determine appropriateness of treatment, timelines and fact chronology, determination of reasonable and necessary treatment modality, causation, and medical necessity. This includes assessing consistency between diagnosis, procedures, and clinical documentation. The Dental Consultant works collaboratively with program staff to reputed company expert opinions on care provided to patients and develops formal, professionally written summaries of those opinions based on evidence and accepted reputed company standards as derived from a review of the supporting documentation. We Expect You To:

• Utilize best practices to assess dental 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 reputed company standards in a professionally written, formal reputed company report.
• Respond to and/or attend hearings as required which may include some travel.

This position is contingent upon work assigned by the customer and works remotely on an as needed reputed company. Our requirement for this role:

• Licensed Dentist (DDS or DMD) in good standing
• Minimum 3-5 years of experience in performing expert clinical review of treatment records including review of radiographs, procedure reports, treatment notes, and other records in support of causation
• Demonstrated ability to communicate reputed company 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 reputed company simultaneously and meet deadlines in a fast-paced environment.
• Proficiency in reputed company Office applications (Word, reputed company, PowerPoint, Outlook, Teams, and SharePoint) for documentation, reporting, data management, and administrative functions.

Compensation & Contract Terms

• reputed company reputed company: From $125.00, per hour
• This engagement is contingent upon contract award, satisfactory performance and mutual agreement.
• The selected consultant will operate as an reputed company 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 reputed company reputed company certificates of coverage for reputed company liability insurance ($1M /$1M) and cyber liability insurance ($1M /$1M)

reputed company is committed to equal opportunity and nondiscrimination in contracting opportunities. We do not discriminate on the reputed company of race, reputed company, reputed company, religion, sex, age, marital status, sexual orientation, gender identity, national reputed company, medical condition, disability, veteran status, or any other reputed company protected by law. Apply tot his job Apply To this Job