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How much do clinical review analyst jobs pay per hour?

As of Jul 5, 2026, the average hourly pay for clinical review analyst in the United States is $39.80, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $45.67 per hour, depending on experience, location, and employer.

What does a clinical analyst do?

A clinical review analyst evaluates medical records, treatment plans, and healthcare data to ensure compliance with clinical guidelines and regulations. They often analyze patient information, identify discrepancies, and support quality improvement initiatives, typically using electronic health record (EHR) systems and requiring knowledge of healthcare standards. The role may involve collaboration with healthcare professionals and adherence to confidentiality requirements.

What are the key skills and qualifications needed to thrive as a Clinical Review Analyst, and why are they important?

To thrive as a Clinical Review Analyst, you need a strong background in healthcare, medical terminology, and case review, often supported by a clinical degree or relevant certification such as RN, LPN, or coding credentials. Familiarity with utilization management software, electronic health records (EHR), and medical coding systems like ICD-10 and CPT is usually required. Attention to detail, analytical thinking, and effective communication are critical soft skills for accurately assessing medical records and collaborating with providers. These skills ensure quality, compliance, and effective decision-making in the review and authorization of clinical services.

What does a review analyst do?

A review analyst evaluates clinical data, medical records, or claims to ensure accuracy, compliance, and quality. They analyze information, identify discrepancies, and prepare reports, often using specialized software and adhering to regulatory standards.

What are Clinical Review Analysts?

Clinical Review Analysts are healthcare professionals who evaluate medical records, treatment plans, and claims to ensure they meet established guidelines and standards. They work for insurance companies, hospitals, or healthcare organizations, reviewing clinical documentation to determine the necessity and appropriateness of medical services. Their role is crucial in ensuring that patients receive proper care while also managing healthcare costs and compliance. Clinical Review Analysts often collaborate with medical providers and may provide recommendations for care improvement or denial of claims when necessary.

What are some common challenges faced by Clinical Review Analysts, and how can they be effectively managed?

Clinical Review Analysts often encounter challenges such as interpreting complex medical records, keeping up with evolving healthcare regulations, and balancing caseloads with tight deadlines. Effective management of these challenges involves staying current with industry guidelines, leveraging electronic health record (EHR) systems for efficient data retrieval, and collaborating closely with medical professionals to clarify clinical details. Strong organizational skills and ongoing professional development can also help analysts maintain accuracy and compliance in their reviews.

What healthcare jobs pay over $100k per year?

Clinical Review Analysts typically earn over $100,000 annually with experience, advanced certifications, and working in specialized healthcare settings. Other high-paying healthcare roles include physicians, surgeons, healthcare executives, and certain nurse practitioners, often requiring advanced degrees and extensive training.

How much does a clinical review specialist make?

A clinical review specialist typically earns between $50,000 and $70,000 annually, depending on experience, location, and employer. The role often requires strong analytical skills and knowledge of healthcare regulations, with some positions offering additional benefits or bonuses.
More about Clinical Review Analyst jobs
What job categories do people searching Clinical Review Analyst jobs look for? The top searched job categories for Clinical Review Analyst jobs are:
Clinical Review Analyst jobs near you
Infographic showing various Clinical Review Analyst job openings in the United States as of June 2026, with employment types broken down into 87% Full Time, 1% Part Time, 11% Contract, and 1% Nights. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $82,791 per year, or $39.8 per hour.
Clinical Review Specialist (Ukiah)

Clinical Review Specialist (Ukiah)

Adventist Health

Ukiah, CA

Other

Posted 19 days ago

Adventist Health rating

7.9

Company rating: 7.9 out of 10

Based on 240 frontline employees who took The Breakroom Quiz

104th of 877 rated healthcare providers

Job description

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Responsible for the collection, abstraction, validation, and submission of clinical data to support CMS quality programs, patient safety measures, national clinical registries and/or peer review data. Ensures the accuracy and integrity of reported data, supports compliance with regulatory requirements, and contributes to performance improvement initiatives. Applies clinical knowledge to identify trends, monitor quality outcomes, and provide actionable feedback to leaders and clinicians. Supports confidentiality of peer review activities, prepares trended reports for leadership and medical staff committees, and assists in maintaining compliance with accreditation and regulatory standard. Is essential to achieving internal and external quality and patient safety targets.

Job Requirements:

Education and Work Experience:

  • Associate's or Technical Degree in Nursing, Healthcare Administration, or Health Information Management or equivalent combination of education and experience: Required
  • Two years' of experience in quality management, data abstraction, or healthcare analytics: Required
  • Three years' of experience in peer review, abstraction, quality assurance, or hospital data reporting: Preferred

Licenses/Certifications:

  • Registered Nurse (RN) license or equivalent health background: Preferred
  • Certified Professional in Healthcare Quality (CPHQ) or CPPS: Required

Essential Functions:

  • Performs concurrent and retrospective chart abstraction for peer review, quality, and regulatory reporting using defined criteria. Ensures data accuracy and timeliness of submissions to internal and external databases.
  • Performs case abstraction for assigned registries and/ or CMS IOR and QOR measures (e.g., STS, CoC, NSQIP, or other specialty registries). Collaborates with outsourced registry vendors and maintain effective communication with system quality teams. Ensures timely data submission to meet internal and external reporting requirements.
  • Serves as a liaison between the Quality Department, clinical stakeholders, and registry partners. Provides feedback to physicians, nurses, and leaders on documentation gaps or trends impacting data accuracy. Supports initiatives to improve compliance with quality metrics.
  • Adheres to all confidentiality requirements under state and federal peer review protections. Ensures that data collection and storage comply with Evidence Code 1157, PSWP, and organizational policies.
  • Monitors data trends to identify opportunities for clinical process improvement. Provides reports and data insights to Quality and Patient Safety leaders. Supports performance improvement teams with accurate, validated data to guide interventions.
  • Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

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