Jobs at MedReview

The SFTP Analyst will manage and support enterprise SFTP/MFT platforms, troubleshoot production issues, and automate tasks in high-availability environments.

The Payment Integrity Product Development Specialist supports the development of the SNF Payment Integrity audit product by leveraging expertise in SNF regulations and clinical methodologies to ensure compliance and operational efficiency.

The DRG Reviewer will analyze inpatient claims for coding accuracy, ensure proper DRG assignment, and collaborate with physician reviewers, among other responsibilities.

The Systems Engineer will manage enterprise infrastructure, optimize performance, lead upgrades, and ensure system reliability and security in on-prem and Azure environments.

The Business Analyst will work with stakeholders to document requirements and analyze healthcare claims data to improve payment integrity operations.

The Senior Director of Coding Operations oversees coding teams, manages operational goals, ensures compliance, and implements process optimizations.

The Pricing Resolution Specialist analyzes inpatient medical claims, reviews documentation for reimbursement, and provides support on claims adjudication issues.

The ETL Engineer will design, develop, and optimize ETL pipelines using tools like Azure Data Factory and ClickHouse, ensuring performance and reliability while integrating data from various sources.

The Data Engineer will design and maintain data pipelines on Azure, manage ClickHouse for analytics, and ensure healthcare compliance while supporting ML integration.

The Appeals Specialist II investigates and resolves healthcare appeals and complaints, ensuring compliance, accuracy, and timely responses to providers and clients.

The Cloud Network Engineer will design, optimize, and secure cloud infrastructure, manage deployments, troubleshoot network issues, and ensure compliance.

The HRIS/Payroll Analyst will collaborate between HR and Finance to ensure accurate payroll processing, maintain HRIS data integrity, and generate reports. Advanced Excel skills are essential for data analysis and compliance audits.

The Senior IT Support Analyst provides front-line technical support for hardware and software issues, manages user accounts, and participates in identity management. Responsibilities include troubleshooting, inventory maintenance, and user onboarding, along with enforcing IAM policies.

This role involves day-to-day accounting operations, reconciliation, reporting, and support for financial processes, requiring attention to detail and Excel skills.

The Physician Reviewer will evaluate complex hospital cases for DRG validation, ensure accurate documentation, and contribute to quality assurance initiatives.

The Appeals Coordinator I assists with administrative work, categorizing appeals, managing documents, and coordinating with other departments to ensure timely resolution of inquiries.