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Independent Medical Review Jobs (NOW HIRING)

Managed Medical Review Organization

Conduct independent medical evaluations and/or chart reviews in alignment with state regulations, MMRO standards, and clinical best practices. * Review medical records, diagnostic data, and treatment ...

Managed Medical Review Organization

ID · On-site

Conduct independent medical evaluations and/or chart reviews in alignment with state regulations, MMRO standards, and clinical best practices. * Review medical records, diagnostic data, and treatment ...

Managed Medical Review Organization

$306K - $381K/yr

Conduct independent medical evaluations and/or chart reviews in alignment with state regulations, MMRO standards, and clinical best practices. * Review medical records, diagnostic data, and treatment ...

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How much do independent medical review jobs pay per week?

As of Aug 6, 2026, the average weekly pay for independent medical review in the United States is $1,089.33, according to ZipRecruiter salary data. Most workers in this role earn between $721.15 and $1,211.54 per week, depending on experience, location, and employer.

What are some common challenges faced in the role of an independent medical reviewer?

Independent Medical Reviewers often encounter challenges such as managing high volumes of complex case files, interpreting and applying diverse medical guidelines, and maintaining impartiality while reviewing sensitive cases. You may need to balance thoroughness with efficiency as turnaround times for case reviews can be tight. Staying up to date with changing healthcare regulations and guidelines is also essential. However, overcoming these challenges can be very rewarding, as your expertise directly contributes to fair outcomes for patients and healthcare providers.

What is an independent medical review?

An Independent Medical Review (IMR) job involves evaluating medical records and treatment decisions to determine if they meet clinical guidelines and standards of care. Professionals in this role, often physicians or healthcare experts, review cases where patients or providers dispute insurance denials or medical necessity decisions. They provide impartial assessments based on medical evidence, regulations, and best practices. IMR professionals must have strong analytical skills and a deep understanding of healthcare policies. Their work helps ensure fair, evidence-based decisions in patient care.

What does independent medical review mean?

An independent medical review is a process where a qualified medical professional evaluates a healthcare or insurance claim to determine its validity or coverage. In the context of an independent medical review job, professionals review medical records and reports objectively to support fair decision-making, often requiring medical knowledge and attention to detail.

How to become an independent medical review?

To become an independent medical reviewer, typically one needs a medical degree such as MD or DO, along with experience in a relevant specialty. Certification in medical review or utilization management can be beneficial, and understanding insurance policies and medical records is important for the role.

What are the key skills and qualifications needed to thrive in the independent medical review position?

To thrive as an Independent Medical Reviewer, you need a medical degree (MD, DO, RN, or equivalent), extensive clinical experience, and in-depth knowledge of healthcare guidelines and regulations. Familiarity with case management software, electronic health records (EHRs), and current accreditation standards, as well as relevant certifications like URAC or state licensure, are often required. Strong analytical skills, attention to detail, and clear, objective written communication will set you apart in this role. These skills ensure accurate, unbiased review of medical cases and support fair, evidence-based determinations in complex healthcare scenarios.

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Independent Medical Review jobs near you
Infographic showing various Independent Medical Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $56,645 per year, or $27.2 per hour.

Medical Review Specialist- REMOTE (EST zone)

MEDLOGIX, LLC

Southfield, MI • On-site

$48K - $55K/yr

Full-time

Re-posted 6 days ago

Job description

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.

ReviewWorks, a Medlogix company founded in 1989 located in Northville, Michigan. Provides comprehensive Medical Review Services, Medical Case Management Services and Vocational Rehabilitation Services to customers that include self-insured entities, third party administrators and insurance carriers.


TITLE:

Medical Review Specialist

TYPE:

Full time – (40 hours per week)

Non-Exempt

Remote- EST time zone


POSITION SUMMARY:

The incumbent reviews medical bills utilizing professional knowledge and clinical experience to determine relationship of services billed to the covered injury; applies appropriate review guidelines, assesses appropriate use of medical coding; identifies over-utilization of treatment and makes appropriate reimbursement recommendations for Michigan Workers' Compensation claims. The incumbent is also responsible for the quality timeliness and customer service for assigned accounts.


ESSENTIAL FUNCTIONS:

  • Reviews medical bills and documentation according to guidelines and RW policies and procedures.
  • Determines if treatment is related and necessary to the covered injury.
  • Advises reimbursement recommendations are appropriate.
  • Provides customer service to adjusters, providers, and claimants regarding bill review.
  • Assesses appropriateness and duration of care provided, for possible utilization review.
  • Recommends independent medical evaluations (IME) to adjusters when necessary.
  • Act as a resource to other staff members to facilitate completion of a quality product.
  • Use appropriate reference material as necessary to perform professional review.
  • Meets company productivity standards.
  • Meets company quality standards.


Professional Background:


Certified Professional Coder – required

1+ years medical coding experience – CPT, ICD-10 - preferred

1+ years’ experience in Medical Bill Repricing – preferred

Michigan Workers' Compensation experience- preferred

SKILLS AND ABILITIES:


Ability to apply clinical knowledge and/or coding expertise in bill review

Ability to read, write, speak, and understand English well

Ability to understand and follow written and oral instructions

Possess strong verbal and interpersonal skills

Ability to multi-task

Possess problems solving skills

Ability to sit for long periods at a computer terminal keyboarding

PC skills – required

Knowledge of Microsoft Office Products – required

Ability to operate standard office equipment including telephone

PERSONAL CHARACTERISTICS:

Initiative, drive, creativity and persistence

Good organizational skills

Highest professional ethics

Ability to work independently



EEOC STATEMENT:

Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.