Orthopedic Surgeon- Independent Medical Examiner (IME)
Updated 12/03/25
29579, Myrtle Beach, South Carolina, United States
Physician
Orthopedics-Spine
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Job at a glance
Degree Required
MD/DO
Position Type
Part-Time/Contract
Work Environment
Clinic/Private Practice
Visa Sponsorship
Yes
Job description
Job description
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care.
Job Responsibilities
* Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision
* Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes
* Provides copies of any criteria utilized in a review with the report in a timely manner
* Returns cases on or before the due date and time
* Makes telephone calls as mandated by the state and/or client specifics
* Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job
* Attends all required orientation and training
* Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits
* Board certification required, active practice required
By applying you agree to our Terms of Service