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Home Based Remote Medical Reviewer Jobs (NOW HIRING)

InGenesis

LPN / Medical Reviewer / Remote

$26.25 - $35.75/hr

LPN / Medical Reviewer / Remote Job Details Professional Discipline : LPN/LVN Specialty ... based on race, color, religion, sex, sexual orientation, gender identity, national origin ...

Integrated Management Strategies LLC

Remote Medical Coder

$19.25 - $24.25/hr

Review and respond to each audit within set time window, with corrections made immediately after ... We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual ...

Ourhrconnect

Reviewer II, Medical

Carolina, RI · On-site +1

This role is remote position for South Carolina, Georgia, North Carolina or Alabama. What You'll Do ... Make reasonable charge payment determinations based on clinical/medical information and established ...

Fortuna BMC

Remote Medical Scheduler

$21/hr

EQUIRED BEFORE APPLYING Please review the following minimum requirements before submitting your ... Paid sick leave based on state regulations after 90 days of employment * Medical, dental, and ...

Managed Medical Review Organization

... based medical peer reviews nationwide. We are currently seeking Board-Certified Orthopedic Surgery ... Flexible, remote contract opportunity. * Set your own schedule and case volume. * Collaborate with ...

VIVA USA INC

Physician Medical Reviewer

Chicago, IL · On-site +1

Remote Description: Evaluates clinical service requests made by an organization's members and ... Participates in the Physician Review Units' appeal process of service denials. Participates in the ...

VIVA

Physician Medical Reviewer

Remote Description: Evaluates clinical service requests made by an organization's members and ... Participates in the Physician Review Units' appeal process of service denials. Participates in the ...

Ourhrconnect

Reviewer II, Medical

Carolina, RI · On-site +1

This role is remote position for South Carolina, Georgia, North Carolina or Alabama. What You'll Do ... Make reasonable charge payment determinations based on clinical/medical information and established ...

Imedview, Inc

Be Seen First

Medical Report Reviewer

Saugerties, NY · Remote

$24 - $28/hr

While we offer remote flexibility, these states are key to our growth strategy. (Including but not ... and hire based on merit. We are committed to creating an inclusive workplace and do not ...

Sygnetics, Inc

Be Seen First

Remote Medical Coder III

Louisville, KY · Remote

$38.09/hr

... home. Core Duties * Accurately assigns Evaluation and Management (E&M) codes, International ... Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities ...

Orthos Inc

Remote Medical Biller

Niles, MI · Remote

$16.50 - $21.25/hr

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or ... medical terminology Participate in professional development efforts to stay current with health ...

Orthos Inc

Remote Medical Biller

Mishawaka, IN · Remote

$16.75 - $21.50/hr

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or ... medical terminology Participate in professional development efforts to stay current with health ...

Vituity

Medical Content Reviewer 2

$60/hr

Remote, Nationwide - Seeking Medical Content Reviewer Everybody Has A Role To Play In Accelerating ... Analyze samples based on provided information, demonstrating your ability to apply your expertise ...

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Home Based Remote Medical Reviewer information

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$11

$42

$100

How much do home based remote medical reviewer jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for home based remote medical reviewer in the United States is $42.06, according to ZipRecruiter salary data. Most workers in this role earn between $22.84 and $54.09 per hour, depending on experience, location, and employer.

What is the difference between Home Based Remote Medical Reviewer vs Home Based Remote Medical Coder?

AspectHome Based Remote Medical ReviewerHome Based Remote Medical Coder
Required CredentialsMedical degree, licensure, certifications (e.g., AAPC, AHIMA)Certification in coding (e.g., CPC, CCS), training in medical coding
Work EnvironmentRemote, independent review of medical recordsRemote, analyzing and coding medical documentation
Employer & Industry UsageInsurance companies, third-party administratorsHospitals, clinics, insurance companies
Common Search & ComparisonYesYes

Both roles are remote healthcare positions requiring specialized certifications. Medical reviewers evaluate medical records for claims and coverage, while medical coders translate medical documentation into standardized codes. Although they share a remote work environment and industry usage, their core responsibilities and credentials differ significantly.

What are Home Based Remote Medical Reviewers?

Home Based Remote Medical Reviewers are healthcare professionals, often nurses or physicians, who evaluate medical records, treatment plans, or claims from a remote location, typically their home. Their primary role is to ensure that medical services provided to patients meet regulatory, clinical, and insurance standards. They assess documentation for accuracy, completeness, and compliance, and may also determine the medical necessity of procedures or treatments. This position allows for flexible scheduling and eliminates the need for daily commuting, making it a popular option for qualified professionals seeking work-life balance.

How do Home Based Remote Medical Reviewers typically collaborate with clinical teams and ensure accurate communication while working remotely?

Home Based Remote Medical Reviewers often collaborate with clinical teams through secure digital platforms, such as electronic health record systems and team communication tools like Slack or Microsoft Teams. Regular virtual meetings and clear documentation practices help maintain alignment and support timely case reviews. Effective reviewers are proactive communicators, ensuring that questions or concerns about patient records are addressed promptly. This remote structure allows for flexibility but requires strong organizational skills and attention to detail to ensure accuracy and compliance with healthcare regulations.

What are the key skills and qualifications needed to thrive as a Home Based Remote Medical Reviewer, and why are they important?

To excel as a Home Based Remote Medical Reviewer, a strong background in healthcare or life sciences, often supported by a medical degree, nursing degree, or relevant certification, is essential. Familiarity with medical terminology, clinical documentation systems, and review platforms like electronic health records (EHRs) or specialized medical review software is typically required. Excellent attention to detail, analytical thinking, and strong written communication skills set top performers apart in this role. These skills ensure accurate, compliant medical record evaluations and support effective decision-making in remote healthcare environments.
What cities are hiring for Home Based Remote Medical Reviewer jobs? Cities with the most Home Based Remote Medical Reviewer job openings:
What are the most commonly searched types of Remote Medical Reviewer jobs? The most popular types of Remote Medical Reviewer jobs are:
What states have the most Home Based Remote Medical Reviewer jobs? States with the most job openings for Home Based Remote Medical Reviewer jobs include:
Home Based Remote Medical Reviewer jobs near you
Infographic showing various Home Based Remote Medical Reviewer job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 89% Full Time, 1% Part Time, and 9% Contract. Highlights an 42% Physical, 3% Hybrid, and 55% Remote job distribution, with an average salary of $87,476 per year, or $42.1 per hour.
LPN / Medical Reviewer / Remote

LPN / Medical Reviewer / Remote

InGenesis

Remote

$26.25 - $35.75/hr

Other

Posted 23 days ago

Job description

LPN / Medical Reviewer / Remote
Job Details
Professional Discipline : LPN/LVN
Specialty : Administrative
Employment Type : Full Time
City : Columbia
State : SC
Pay Range :
Job Description:
LPN / Medical Reviewer / Remote
InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia, SC. In this role, you will perform Medical Review of clinical information using established criteria or clinical guidelines. In this role, you will provide support and review of medical claims and utilization practices.
This is a REMOTE opportunity for a LPN living in the state of South Carolina. Apply today and we'll reach out to answer any questions you may have!
Job Duties
  • Responsible for supporting and maintaining the coordination of daily operations of assigned area.
  • Interfaces with the medical management on a regular basis to work more complex UR cases for the outpatient UR function
  • Maintains the outpatient authorization process to include ensuring benefit coverage, reviewing/determining eligibility, reviewing of established UR criteria, interpreting rules and regulations.
  • Completes authorization by following established policies
  • Review interdepartmental requests and medical information to complete utilization process
  • Documents process used and decision int he appropriate system in accurate and timely manner.
  • Performed other duties as assigned.
Minimum Qualifications
  • Current Licensed Practical Nurse / LPN license in the State of South Carolina or active compact multistate unrestricted LPN license
  • 3+ years managed care or physician's office experience
  • Computer proficiency

EEO Statement:
InGenesis is an equal opportunity employer committed to fostering a diverse, inclusive, and equitable workplace. We comply with all applicable federal, state, and local employment laws, including recent executive orders, and strictly prohibit discrimination, harassment, or retaliation based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, genetic information, age, veteran status, or any other characteristic protected by law.
InGenesis is dedicated to making reasonable accommodations for qualified individuals with disabilities and ensuring that all employment decisions are based on qualifications, merit, and business needs. If you require a reasonable accommodation during the hiring process, please contact us by visiting our website at https://www.ingenesis.com/careers/site-accommodations.
To learn more about your rights, please refer to the Know Your Rights: Workplace Discrimination is Illegal poster issued by the U.S. Equal Employment Opportunity Commission (EEOC).
Company Statement:
With decades of experience, InGenesis has grown into one of North America's most trusted Healthcare Services Firms, which includes comprehensive health and workforce solutions. As the industry landscape shifts with new challenges in patient care, quality and compliance requirements, workforce retention, and operational efficiencies, we deliver strategic, data-driven solutions that include redefining workforce management and clinical service delivery. Explore InGenesis to discover how our expertise, innovative strategies, and commitment to excellence are shaping the future of healthcare workforce solutions. Join us in celebrating the professionals who define the next era of healthcare.

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