Reviewer job description
Updated March 14, 2024
9 min read
Reviewers are often hired by research bodies, academies, publications, or even individual researchers to validate information presented in journals or articles, evaluate the submissions, and ensure that these articles and submissions adhere to the standard of the publications' criteria. They check the accuracy of the studies and the completeness of the data.
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Example reviewer requirements on a job description
Reviewer requirements can be divided into technical requirements and required soft skills. The lists below show the most common requirements included in reviewer job postings.
Sample reviewer requirements
- Must have a Bachelor's degree in a relevant field
- Relevant work experience in the industry
- Excellent written and verbal communication skills
- Strong attention to detail
- Ability to work independently and meet deadlines
Sample required reviewer soft skills
- Strong critical thinking and problem-solving skills
- Ability to provide constructive feedback
- Open-mindedness and willingness to consider different perspectives
- Ability to work collaboratively with a team
- Strong interpersonal skills and ability to build relationships with authors and colleagues
Reviewer job description example 1
Tyler Technologies reviewer job description
Work with our technology-driven solutions for property assessment and tax software and mass appraisal services. From data collection to computer-assisted mass appraisal to tax billing and collections, you can help develop property and recording solutions for the public sector.
Columbus, Ohio | Mansfield, Ohio | Delaware, Ohio | Cleveland, Ohio | Gallia, Ohio | Athens, Ohio | Delaware County, Ohio | Circleville, Ohio | Akron, Ohio | Toledo, Ohio | Canton, Ohio | Cincinnati, Ohio | Zanesville, Ohio | Lancaster, Ohio | Portsmouth, Ohio | Chillicothe, Ohio
Travel
50-75%
Responsibilities
Performs sales validation and verification.* Examines all information on field review documents as recorded by Residential/Agricultural Data Collectors for completeness and accuracy. Updates as necessary.Performs residential/agricultural data collection functions as required.* Verifies predetermined CALP models as they apply at neighborhood level. Makes recommendations for change to senior analyst. Understands role of land formatting and characteristics in determining value.Applies parcel-level adjustments as required.* Understands which building and economic characteristics influence cost and market value. Ensures that quality grade and CDU are consistently applied and accurately reflect value as indicated by the sales analysis.Applies appropriate residential/agricultural pricing schedules to establish values for individual residential/agricultural properties.* Assists in handling taxpayers' complaints and supports values in informal hearings with taxpayers.* Professionally represents Tyler Technologies and the client to property owners and other members of the public. Fields questions and complaints in a courteous manner.* Drives vehicle to property locations, getting in and out of vehicle as required, to complete an effective review.* Trains Residential/Agricultural Data Collectors as required.* Creates and updates administrative reports, and maintains personal production records, as required.* Demonstrates awareness of and adherence to Company policies as outlined in the Employee Handbook and Safety Handbook. These include, but are not limited to, Safety, Equal Employment Opportunity, Business Ethics, and Anti-Harassment policies.*
Performs other duties, as required
Qualifications
EXPERIENCE:
Satisfactory performance as a Residential/Agricultural Data Collector.Real Estate and/or appraisal experience is preferred but not required.
LICENSE, CERTIFICATION, OR TESTING REQ.:
Appraisal certification which fulfills local/state government requirements, if any.Valid driver's license issued by the state in which the employee lives.
SPECIAL SKILLS OR CHARACTERISTICS:
Demonstrates good written and oral communication skills Must be detail-oriented Possesses spatial abilities necessary to read maps, and/or to envision floor plan footprints based on three-dimensional buildings Ability to read, interpret and use valuation documents including sales ration reports, comp sheets and spreadsheets. Sufficient math and analytical skills to calculate square footage, depreciation and similar functions Awareness and understanding of factors influencing values, including grade, CDU, neighborhood, and land factors General PC skills, including knowledge of MS-Word and Excel, or their equivalents, are desirable
Taking Care of You & Your Family
Your health and well-being are important to us. That's why we invest in our team members by offering competitive benefits to support their health and financial wellness. .
Columbus, Ohio | Mansfield, Ohio | Delaware, Ohio | Cleveland, Ohio | Gallia, Ohio | Athens, Ohio | Delaware County, Ohio | Circleville, Ohio | Akron, Ohio | Toledo, Ohio | Canton, Ohio | Cincinnati, Ohio | Zanesville, Ohio | Lancaster, Ohio | Portsmouth, Ohio | Chillicothe, Ohio
Travel
50-75%
Responsibilities
Performs sales validation and verification.* Examines all information on field review documents as recorded by Residential/Agricultural Data Collectors for completeness and accuracy. Updates as necessary.Performs residential/agricultural data collection functions as required.* Verifies predetermined CALP models as they apply at neighborhood level. Makes recommendations for change to senior analyst. Understands role of land formatting and characteristics in determining value.Applies parcel-level adjustments as required.* Understands which building and economic characteristics influence cost and market value. Ensures that quality grade and CDU are consistently applied and accurately reflect value as indicated by the sales analysis.Applies appropriate residential/agricultural pricing schedules to establish values for individual residential/agricultural properties.* Assists in handling taxpayers' complaints and supports values in informal hearings with taxpayers.* Professionally represents Tyler Technologies and the client to property owners and other members of the public. Fields questions and complaints in a courteous manner.* Drives vehicle to property locations, getting in and out of vehicle as required, to complete an effective review.* Trains Residential/Agricultural Data Collectors as required.* Creates and updates administrative reports, and maintains personal production records, as required.* Demonstrates awareness of and adherence to Company policies as outlined in the Employee Handbook and Safety Handbook. These include, but are not limited to, Safety, Equal Employment Opportunity, Business Ethics, and Anti-Harassment policies.*
Performs other duties, as required
Qualifications
EXPERIENCE:
Satisfactory performance as a Residential/Agricultural Data Collector.Real Estate and/or appraisal experience is preferred but not required.
LICENSE, CERTIFICATION, OR TESTING REQ.:
Appraisal certification which fulfills local/state government requirements, if any.Valid driver's license issued by the state in which the employee lives.
SPECIAL SKILLS OR CHARACTERISTICS:
Demonstrates good written and oral communication skills Must be detail-oriented Possesses spatial abilities necessary to read maps, and/or to envision floor plan footprints based on three-dimensional buildings Ability to read, interpret and use valuation documents including sales ration reports, comp sheets and spreadsheets. Sufficient math and analytical skills to calculate square footage, depreciation and similar functions Awareness and understanding of factors influencing values, including grade, CDU, neighborhood, and land factors General PC skills, including knowledge of MS-Word and Excel, or their equivalents, are desirable
Taking Care of You & Your Family
Your health and well-being are important to us. That's why we invest in our team members by offering competitive benefits to support their health and financial wellness. .
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Reviewer job description example 2
US Oncology Holdings Inc reviewer job description
Texas Oncology's Covid 19 vaccine mandate policy requires that all new hires be vaccinated or obtain an approved exemption before their start date. More information will be provided to you throughout the interview process.
Texas Oncology
is looking for a full-time
Clinical
Insurance Reviewer
to join our team!
This position is a float position.
This position will support the
Dallas Medical City location
Texas Oncology
is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." ® in their fight against cancer. Today,
Texas Oncology
treats half of all Texans diagnosed with cancer on an annual basis.
Why work for us?
Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas. We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.
What does the Clinical Insurance Reviewer do?
Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Responsibilities
The essential duties and responsibilities:
Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. Researches additional or alternative resources for non-covered chemotherapy services to prevent payment denials. Provides a contact list for patients community resources including special programs, drugs and pharmaceutical supplies and financial resources. Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization. Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records.
Qualifications
The ideal candidate for the Clinical Insurance Reviewer position will have the following background and experience:
High school degree or equivalent. Associates degree in Healthcare, LPN state license and registration or previous Medical Assistant experience preferred Minimum three (3) years of medical insurance verification and authorization experience required.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
WORK ENVIRONMENT:
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.
Texas Oncology
is looking for a full-time
Clinical
Insurance Reviewer
to join our team!
This position is a float position.
This position will support the
Dallas Medical City location
Texas Oncology
is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." ® in their fight against cancer. Today,
Texas Oncology
treats half of all Texans diagnosed with cancer on an annual basis.
Why work for us?
Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas. We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.
What does the Clinical Insurance Reviewer do?
Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Responsibilities
The essential duties and responsibilities:
Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. Researches additional or alternative resources for non-covered chemotherapy services to prevent payment denials. Provides a contact list for patients community resources including special programs, drugs and pharmaceutical supplies and financial resources. Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization. Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records.
Qualifications
The ideal candidate for the Clinical Insurance Reviewer position will have the following background and experience:
High school degree or equivalent. Associates degree in Healthcare, LPN state license and registration or previous Medical Assistant experience preferred Minimum three (3) years of medical insurance verification and authorization experience required.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
WORK ENVIRONMENT:
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.
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Reviewer job description example 3
Centene reviewer job description
You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Perform clinical/coding medical claim review to ensure compliance with coding practices through a comprehensive review and analysis of medical claims, medical records, claims history, state regulations, contractual obligations, corporate policies and procedures and guidelines established by the American Medical Association and the Centers for Medicare and Medicaid Services.
Analyze provider billing practices by utilizing code auditing software, provider documentation, administrative policies, regulatory codes, legislative directives, precedent, AMA and CMS code edit criterion.
Review medical records to ensure billing is consistent with medical record for appeals, adjustments and miscellaneous/unlisted code review.
Review cases with Medical Director to validate decisions and identify opportunities to create medical policy in the absence of guidelines
Assist with research of health plan coding questions.
Identify potential billing errors, abuse, and fraud.
Identify opportunities to flag potential cases which may warrant a prepayment review (versus an automatic system denial or payment).
Maintain appropriate records, files, documentation, etc
Education/Experience: Associate's degree in related field or equivalent experience. Coding certification and 2+ years of experience in medical billing & coding, coding/data analysis, accounting/business or physician/hospital data management or RN/LPN and 2+ years of related clinical experience. Experience in provider communication and education preferred.
License/Certification: LPN, RN, CPC, CPC-H, CPC-P, CPC-A, CCS, CCS-P, RHIT, RHIA, or CPMA
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
**TITLE:** Medical Coding Reviewer I (CPC, CPC-H, CPC-P, RHIT, RHIA, CPMA)
**LOCATION:** Various, Georgia
**REQNUMBER:** 1348009
Position Purpose: Perform clinical/coding medical claim review to ensure compliance with coding practices through a comprehensive review and analysis of medical claims, medical records, claims history, state regulations, contractual obligations, corporate policies and procedures and guidelines established by the American Medical Association and the Centers for Medicare and Medicaid Services.
Analyze provider billing practices by utilizing code auditing software, provider documentation, administrative policies, regulatory codes, legislative directives, precedent, AMA and CMS code edit criterion.
Review medical records to ensure billing is consistent with medical record for appeals, adjustments and miscellaneous/unlisted code review.
Review cases with Medical Director to validate decisions and identify opportunities to create medical policy in the absence of guidelines
Assist with research of health plan coding questions.
Identify potential billing errors, abuse, and fraud.
Identify opportunities to flag potential cases which may warrant a prepayment review (versus an automatic system denial or payment).
Maintain appropriate records, files, documentation, etc
Education/Experience: Associate's degree in related field or equivalent experience. Coding certification and 2+ years of experience in medical billing & coding, coding/data analysis, accounting/business or physician/hospital data management or RN/LPN and 2+ years of related clinical experience. Experience in provider communication and education preferred.
License/Certification: LPN, RN, CPC, CPC-H, CPC-P, CPC-A, CCS, CCS-P, RHIT, RHIA, or CPMA
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
**TITLE:** Medical Coding Reviewer I (CPC, CPC-H, CPC-P, RHIT, RHIA, CPMA)
**LOCATION:** Various, Georgia
**REQNUMBER:** 1348009
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Updated March 14, 2024
Updated March 14, 2024