Medical Documentation Reviewer - Core Business Operations Job at Learnbeyond Consulting LLC, Remote

RWJhNGJVWUdBOW52YmdPUGZMZ1RDY3A0N0E9PQ==
  • Learnbeyond Consulting LLC
  • Remote

Job Description

Job Title: Medical Documentation Reviewer Core Business Operations

Location: Houston, TX

Travel: Up to 25%, depending on client needs

Work Authorization: Must be authorized to work in the U.S. without employer sponsorship, now or in the future. Candidates eligible for U.S. Security Clearance are also considered.

About the Role:

This position is part of Deloitte's Core Business Operations (CBO) portfolio, which supports clients-particularly in the government and public services sector-by optimizing operations and mission delivery through innovative solutions and technologies.

Key Responsibilities:

Review medical exam reports for compliance with legal and medical guidelines.

Collaborate with healthcare professionals to provide case-specific feedback and resolve inconsistencies.

Adhere to protocols related to the handling of Personally Identifiable Information (PII) and Personal Health Information (PHI).

Maintain productivity and quality metrics consistently.

Required Qualifications:

Bachelor's degree or equivalent practical experience.

Minimum of 6 months of experience in MDE (Medical Disability Examination) programs and/or DBQ (Disability Benefits Questionnaire) processes.

Must be legally authorized to work in the U.S. without the need for sponsorship or be eligible for a U.S. security clearance.

Willingness to travel up to 25% based on project requirements.

Preferred Qualifications (Nice-to-Have):

At least 6 months of experience in Healthcare Quality Assurance.

Background with MDEO (Medical Disability Examination Office) vendors.

Prior experience in reviewing medical documentation under legal/medical compliance standards.

Familiarity with medical terminology.

Experience in medical benefits processing.

Active or prior medical licensure (e.g., LVN, RN).

Glassdoor

Employee Benefits:

Comprehensive benefits package.

Professional growth through mentorship and training opportunities.

Inclusive workplace culture that encourages diverse viewpoints.

Strong focus on sustainability, equity, and long-term career development.

Job Tags

Similar Jobs

Lowe's Companies, Inc.

Market Delivery Inventory Specialist Job at Lowe's Companies, Inc.

 ...Your Impact at Lowe's As a Market Delivery Inventory Specialist, your skillful management...  .... Health and Wellbeing: We offer paid time off for vacations, holidays and sick time,...  ...programs for eligible full-time and part-time associates, tailored for many different... 

Kreate Talent

Endocrinologist Job at Kreate Talent

 ...Full-Time Reports To: Chief Medical Officer (CMO) Position Summary: We are seeking a mission-driven, Board-Certified Endocrinologist Physician to provide outpatient comprehensive adult endocrine and primary care services in Davenport, Florida. The role involves... 

Get It - Healthcare

Medical Receptionist / Medical Billing - Remote | WFH Job at Get It - Healthcare

Are you an organized and detail-oriented professional with experience in medical billing and a passion for patient care? We are seeking a dedicated Medical Receptionist & Billing Specialist to join our team. This hybrid role combines front desk responsibilities with medical... 

SCOUT Solutions

Technical Recruiting & Market Intelligence Intern (Part-Time, Remote) Job at SCOUT Solutions

 ...boards and social platforms for new opportunities Support data entry, reporting, and administrative tasks related to recruiting...  ...Self-starter whos proactive and eager to learn ~ No specific degree required we welcome current students, bootcamp grads, or career... 

Donaldson

Principal HRIS Analyst Job at Donaldson

Principal HRIS Analyst Location Hybrid remote in Bloomington, MN : Donaldson is committed to solving the world's most complex filtration challenges. Employing innovation and breakthrough solutions, we are advancing filtration for a cleaner world. We look for the best people...