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HIRING: CLINICAL REVIEW & MEDICAL DOCUMENTATION SPECIALIST Remote - Independent Contractor | INDIA Agents Only Technologies Inc. is seeking experienced healthcare professionals for a specialized project covering prior authorization, utilization management, appeals, clinical documentation, and medical record synthesis. Candidates may be considered for Tier 1, Tier 2, or Tier 3 based on their expertise. TIER 1 – PRIOR AUTHORIZATION & UTILIZATION REVIEW • Develop and evaluate prior-authorization scenarios • Make Approve / Deny / Request More Information recommendations • Apply CMS NCD/LCD policies and medical-necessity standards • Work across multiple clinical specialties Required: • Active RN license or MD/DO qualification • 3+ years in UM, prior authorization, case management, clinical review, or payer-side medical review • Knowledge of CMS NCD/LCD and medical-necessity standards • Strong clinical reasoning and documentation skills Preferred: • Peer-to-peer review • CPUR/ACM or equivalent UM certification • Healthcare content/evaluation experience TIER 2 – PRIOR AUTHORIZATION & APPEALS • Review charts and evidence for medical necessity • Develop prior-authorization evidence packets • Draft physician-level appeal documentation • Research and cite peer-reviewed/PubMed literature Required: • RN, MD/DO, or relevant clinical documentation qualification • 3+ years in prior authorization, utilization review, clinical documentation, or denials/appeals • Clinical documentation review experience • Strong evidence-based medical writing skills Preferred: • Payer appeals experience • Denials & appeals experience • Evidence-research experience TIER 3 – MEDICAL RECORD SYNTHESIS • Review complex multi-encounter medical records • Create chronological clinical summaries • Identify duplicate/redundant testing • Maintain source traceability • Work with C-CDA XML and/or FHIR Required: • HIM, CDI, or related background • 3+ years of relevant experience • Medical record review experience • Strong medical summarization and structured-writing skills Preferred: • RHIA / RHIT • CDIP / CCDS • HEDIS/MIPS • Healthcare data or content experience RELEVANT BACKGROUNDS Nursing | Medicine | HIM | CDI | Clinical Informatics | Utilization Management | Medical Review | Healthcare Administration JOB DETAILS Type: Independent Contractor Location: Remote Market: India Compensation: Paid hourly Schedule: Project-dependent / Flexible Please ensure your profile accurately reflects your experience and certifications. Only shortlisted candidates will be contacted.
Project ID: 40747764
21 proposals
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Active 21 hours ago
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21 freelancers are bidding on average ₹919 INR/hour for this job

Hi, Glane here. I can support clinical research documentation, evidence synthesis, medical literature reviews, and structured academic writing. I’ve assisted with dissertation related research for a student at Ramaiah University, Bengaluru, including literature review development and quantitative research support. I’m comfortable working with research papers, organising evidence, and preparing clear, traceable summaries. I’d be happy to discuss how my research and documentation skills align with your project requirements..
₹1,250 INR in 40 days
4.0
4.0

Hello Vantage Team, I have carefully reviewed your Clinical Review project. I can provide you with an accurate, detailed, and on-time clinical review. Key Strengths: - Expertise in Clinical Data Review & Research - Strong Medical Terminology and Documentation Skills - 100% Manual, Accurate Work - No AI shortcuts - Available 40 Hrs/Week - Can start immediately I am ready for a quick chat to understand your exact requirements. Best Regards, Muhammad Danish
₹750 INR in 40 days
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Hi, I've read your project description and it's something I can help with. I'm Willem, a developer who builds websites, dashboards, and business tools, and I can start right away. To give you an accurate price and timeline, could you tell me what the most important result is for you, and whether you have a deadline? Worst case, we have a quick chat and you walk away with a free consultation on your project. Regards, Willem
₹750 INR in 7 days
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• Review charts and evidence for medical necessity • Develop prior-authorization evidence packets • Draft physician-level appeal documentation
₹1,000 INR in 40 days
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I’m a Clinical Research professional having 3+years of experience with an MSc in Clinical Research, BSc in Zoology, and medical writing certification and training. I have experience in healthcare content, research-based writing, and scientific communication, with a strong interest in evidence-based healthcare topics.
₹800 INR in 40 days
0.0
0.0

Hello Hiring Team, I'm a Medical Billing and AR Specialist with 2.5+ years of experience in U.S. healthcare revenue cycle management. My day-to-day work includes reviewing patient accounts and claim records, handling denials and appeals, verifying insurance eligibility, and working with payer documentation across multiple specialties, all under HIPAA compliance. I want to be upfront: I don't yet have the full background listed for this role, such as an RN license, formal UM or CDI experience, or hands-on work with C-CDA/FHIR. What I do bring is: Strong familiarity with medical necessity, payer denial reasons, and appeals workflows Experience reading and organizing patient and claim records accurately Close attention to detail and consistent documentation habits A quick-learning approach: once a process or guideline is explained, I pick it up fast and apply it correctly I'm eager to grow into clinical review and documentation work and would be glad to complete a short test task or training to show my ability. I'm available for flexible, project-based hours and can start promptly. Thank you for your time and consideration. Best regards Ankit Kumar
₹1,000 INR in 40 days
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I am an MBBS graduate with good knowledge of anatomy, medicine, pharmacology, and medical terminology. I can understand clinical information accurately and write clear, well-structured medical content. I am detail-oriented, responsible, and committed to delivering high-quality work on time. I would be happy to contribute my medical knowledge and skills to this project.
₹750 INR in 40 days
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"Hello, I am very interested in your Clinical Review and Medical Documentation Specialist project. As a dedicated healthcare professional with a strong background in medical evaluation, clinical documentation, and record synthesis, I can efficiently handle prior authorizations and utilization management tasks. I am ready to start immediately and deliver accurate work."
₹850 INR in 40 days
0.0
0.0

Dear Hiring Team at Agents Only Technologies Inc.,I am writing to express my strong interest in the Clinical Review & Medical Documentation Specialist independent contractor role (Remote – India). With an active RN license and over [X] years of hands-on experience in utilization management, prior authorization, clinical documentation, denials/appeals, and medical record review, I am well-positioned to contribute effectively across Tier 1, Tier 2, and Tier 3 workstreams.
₹750 INR in 40 days
0.0
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I’m confident I can handle this project as it closely matches my professional experience. I have 4+ years of experience in Audit Support at Cotiviti, where I have worked extensively with medical records, healthcare documentation, claims review, and quality and accuracy checks. My work involves carefully reviewing medical information, identifying discrepancies, validating documentation, and ensuring accuracy against applicable guidelines and requirements. I’m experienced in handling detailed and sensitive healthcare documents and have a strong eye for inconsistencies and missing information. I can bring the same level of accuracy, attention to detail, and healthcare domain knowledge to reviewing your research papers, patient information leaflets, and clinical guidelines. Regards, Madhumanti
₹1,000 INR in 40 days
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I am a Medical Billing & RCM Specialist with 5+ years of experience in U.S. healthcare revenue cycle operations. I can help manage your billing process accurately, reduce outstanding A/R, resolve denials, and ensure timely claim and payment follow-up. My expertise includes: Medical Claims Submission & Follow-up A/R Management & Aging Analysis Denial Management & Appeals Payment Posting & Reconciliation Eligibility & Benefits Verification Insurance Follow-up ERA/EOB Review Credentialing & Provider Enrollment CPT, HCPCS & ICD-10 Knowledge QA Auditing, Reporting & Team Training I have experience working with Medicare, Medicaid, Tricare, and commercial payers and have used platforms such as Epic, Kareo, AdvancedMD, eClinicalWorks, Availity, Office Ally, and Optum. My approach is focused on accuracy, accountability, timely follow-up, and maximizing revenue. I am comfortable working independently or as part of an RCM team and can quickly adapt to your workflow and systems. I would be happy to discuss your current billing needs and how I can contribute to your practice's revenue cycle.
₹850 INR in 40 days
0.0
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Hello, I am bidding for the Tier 3 – Medical Records Synthesis profile. I have over 5 years of experience in reviewing medical records. I worked at Optum as a Senior Clinical Investigator and Auditor for more than 5 years. I hold a Bachelor’s degree in Physiotherapy and have extensive medical knowledge. I am well-versed in reviewing and analyzing complex medical records and have strong experience in clinical documentation review and synthesis.
₹1,000 INR in 40 days
0.0
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Hello, I am interested in your Tier 2 Medical Billing position. I have over 2 years of experience in medical billing and AR, with strong experience in appeals, authorization follow-ups, claim follow-ups, denial management, and AR resolution. I also have hands-on experience with Athena. I believe my experience is a good match for this role. I am flexible with the payment and willing to work for a lower rate, especially for a long-term opportunity. I am available to start immediately. Thank you for considering my proposal.
₹750 INR in 40 days
0.0
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I have and overall experience of 10 years in RCM especially in Accounts Receivable and I am handling team. We are working for providers from Virginia and Georgia.
₹1,000 INR in 40 days
0.0
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I am a CPC-certified medical coder with 6+ years of experience at Optum as a Senior Clinical Investigator and over 5 years of experience in auditing. My extensive healthcare experience has given me strong expertise in medical record review, clinical documentation, claims, denials, prior authorization, and utilization review. I am well versed in RCM and medical billing processes, including identifying documentation gaps, coding discrepancies, claim issues, and denial reasons. My CPC certification further strengthens my understanding of coding guidelines, medical necessity, prior authorization requirements, and claim review. I bring strong clinical judgment, analytical skills, attention to detail, and evidence-based documentation expertise, making me well suited for prior authorization, appeals, clinical review, and medical record synthesis projects.
₹1,100 INR in 10 days
0.0
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I am interested in contributing to your Medical Record Synthesis project (Tier 3). I am a BDS graduate with over 4 years of clinical healthcare experience and am currently pursuing an MBA in Healthcare Management. My clinical background has given me hands-on experience in reviewing patient histories, clinical records, treatment plans, clinical findings, and healthcare documentation. I am comfortable reviewing detailed patient information, identifying relevant clinical details, organizing information logically, and preparing clear and concise summaries while maintaining accuracy and confidentiality. My combination of clinical healthcare knowledge and healthcare-management education makes me well suited for medical record review and synthesis. I am detail-oriented, able to work independently, and willing to learn and follow your specific documentation and quality guidelines. I would appreciate the opportunity to contribute to your project and demonstrate my capabilities through an initial assignment or evaluation.
₹1,000 INR in 40 days
0.0
0.0

Hello, While my background includes 6+ years in U.S. medical billing and coding, I specialize heavily in the exact hospital revenue cycle mechanics (UB-04), payment reconciliation, and multi-payer guidelines required for this project. Deep knowledge of Medicare, Medicaid, and Commercial coordination of benefits, including strict recoupment, reporting, and timely filing rules. I have experienced with ambulatory coding in EMS and wittman projects experience in U.S. medical billing and coding, including hands-on experience with Athenahealth, CMS 1500, UB-04, ICD-10, CPT, and denial management. I can support your team with accurate claim handling, AR follow-up, denial resolution, and payment posting. Expert at assembling complete refund packets with matched EOBs, clear root-cause documentation, and absolute adherence to compliance standards. I am CCS certified and familiar with U.S. payer guidelines.I would be happy to discuss how I can help with your project. Thanks, Kaviraj B CCS
₹850 INR in 40 days
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Hi, I'd like to bid on the Tier 2 — Prior Authorization & Appeals track. DEVLO RCM handles denial management and payer appeals as part of our day-to-day revenue cycle work for healthcare providers: reviewing charts against medical necessity criteria, building evidence packets, and drafting physician-level appeal language against CMS and commercial payer policy. We work denials to resolution rather than just filing a response and moving on, which is the same discipline Tier 2 is asking for. What we bring: Daily experience reading clinical documentation against payer medical-necessity standards Appeals writing — organizing evidence, citing supporting documentation, building a case a physician reviewer can act on Comfortable working across specialties and payer types, high attention to detail on structured, auditable output To be transparent: our strength is the RCM/appeals side specifically. If a given case needs a credentialed RN/MD sign-off, we'd flag that rather than overstate it. Happy to do a short sample review on one of your real cases so you can judge the work directly before committing to volume. Available to start immediately, flexible hours.
₹1,000 INR in 40 days
0.0
0.0

Hello I can do this job conveniently and professionally. I can deliver at fixed time. I am currently in the nursing field I can handle this
₹850 INR in 40 days
0.0
0.0

Chennai, India
Member since Aug 20, 2026
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