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Orthopedic Surgery Utilization Reviewer – Maryland Licensed
Medical Review Institute of America, LLC. Conduct independent utilization reviews .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in conducting independent utilization reviews and peer reviews while ensuring compliance with HIPAA regulations. Holds a Medical Degree and Board Certification in Orthopedic Surgery, with extensive clinical experience and the ability to engage in peer-to-peer conversations.
Highest-signal resume keywords
Medical Degree (MD or DO)Current Maryland Medical LicenseBoard Certification in Orthopedic Surgery5 Years Clinical ExperienceHIPAA Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Utilization ReviewPeer ReviewClinical AssessmentPatient Record Management
Soft Skills
CommunicationCollaboration
Certifications & Qualifications
Board Certification in Orthopedic Surgery
Industry Keywords
HIPAA RegulationsPeer-to-Peer ConversationsRemote Work
About the role
Key responsibilities & impact- Conduct independent utilization reviews
- Perform peer and utilization reviews for MRIoA
- Participate in peer-to-peer conversations during daytime hours
- Review sensitive health information in compliance with HIPAA and company policies
Requirements
What you’ll need- Medical Degree (MD or DO)
- Current Maryland medical license
- Current Board Certification in Orthopedic Surgery
- 5 years of clinical experience, including residency
- Daytime availability for peer-to-peer conversations
- Board-certified physician in Orthopedic Surgery
- Ability to work remotely from anywhere in the US
- Patient records must remain in the US under HIPAA regulations
Benefits
Comp & perks- Flexible independent contractor (1099) opportunity
- Fully remote work opportunity
- No minimum commitment
- Covered under MRIoA's Errors and Omissions policy
- Workers required to adhere to HIPAA regulations and company confidentiality, privacy, and security policies