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Lead Reviewer Jobs (NOW HIRING)

Briljent, LLC

Clinical Auditor - RN

Indianapolis, IN · On-site

Conduct medical record and compliance reviews independently and provide preliminary findings to the Lead Reviewer. * Identify potential documentation deficiencies, and billing compliance issues.

Soni Resources

Principal Data Architect

Grapevine, TX · On-site

$140K - $150K/yr

Serve as the lead reviewer for major data initiatives and architectural decisions. * Present architecture strategy, roadmaps, and technical trade-off analyses to executive leadership. * Build ...

TriOptus LLC

Internal Audit Managers

Manhattan, NY · On-site

$111K - $147K/yr

Review and approves the Business Monitoring Quarterly summary and serve as lead reviewer for various tasks * Collaborate with teams across the business and determine impact on the overall control ...

Briljent

Medical Coder - Audit Specialist

Indianapolis, IN · Remote

$18 - $24/hr

Conduct coding and documentation reviews independently and provide preliminary findings to the Lead Reviewer. Identify potential coding discrepancies, documentation deficiencies, and billing ...

Empower AI Inc.

Completes other projects or duties assigned by the Medical Review Lead Specialist Qualifications Requirements: * Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate ...

Atria Group LLC

Teradata Lead w/ Strong SQL

Chicago, IL · On-site

$60.75 - $79.50/hr

Responsible for peer-reviews and lead reviews and provide feedback Additional Information * Good comm skills are a big priority * Duration: 12+ Months * Candidate must have excellent verbal and ...

Empower AI Inc.

Completes other projects or duties assigned by the Medical Review Lead Specialist Qualifications Requirements: * Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate ...

Empower AI Inc.

Completes other projects or duties assigned by the Medical Review Lead Specialist Qualifications Requirements: * Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate ...

Empower AI Inc.

Completes other projects or duties assigned by the Medical Review Lead Specialist Qualifications Requirements: * Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate ...

Empower AI Inc.

Completes other projects or duties as assigned by the Medical Review Lead Specialist Qualifications Requirements: * Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate ...

Empower AI Inc.

Medical Reviewer III (Medicare/DME)

Completes other projects or duties as assigned by the Medical Review Lead Specialist Qualifications Requirements: * Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate ...

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How much do lead reviewer jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for lead reviewer in the United States is $20.24, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.19 per hour, depending on experience, location, and employer.

What are Lead Reviewers?

Lead Reviewers are professionals responsible for overseeing the review process in various fields, such as publishing, academic peer review, or quality assurance. They coordinate the activities of a team of reviewers, ensure that standards and guidelines are followed, and often serve as the primary point of contact between reviewers and management. Lead Reviewers may also provide feedback, resolve conflicts, and contribute to the evaluation of products, manuscripts, or processes. Their role is crucial in maintaining the integrity and quality of the review process.

How does a Lead Reviewer typically collaborate with team members to ensure consistency and quality in reviews?

As a Lead Reviewer, you will often coordinate closely with other reviewers, subject matter experts, and project managers to establish clear guidelines and maintain consistency across all evaluations. This involves leading review meetings, providing feedback and training to junior reviewers, and sometimes resolving discrepancies or ambiguities in review standards. Strong communication and organizational skills are essential, as you’ll be responsible for ensuring that all team members are aligned and that the final output meets quality expectations. Collaboration tools and regular check-ins are commonly used to keep the team on track and address any challenges promptly.

What are the key skills and qualifications needed to thrive as a Lead Reviewer, and why are they important?

To thrive as a Lead Reviewer, you need in-depth subject matter expertise, strong analytical skills, and relevant educational qualifications or experience in the field being reviewed. Familiarity with review management systems, compliance software, and relevant industry standards or certifications is typically required. Exceptional attention to detail, leadership, and effective communication are vital soft skills for guiding teams and ensuring consistency. These competencies are essential for maintaining quality, ensuring compliance, and delivering accurate, actionable feedback in review processes.

What is the difference between Lead Reviewer vs Quality Assurance Specialist?

AspectLead ReviewerQuality Assurance Specialist
Required CredentialsTypically requires experience in review processes, certifications in industry-specific standardsRequires knowledge of quality standards, certifications like Six Sigma or ISO
Work EnvironmentOften in project or content review settings, collaborative teamsIn manufacturing, software, or service industries, process-focused
Employer & Industry UsageUsed in publishing, content, or compliance industriesCommon in manufacturing, software development, and service sectors
Search & Comparison IntentPeople compare roles related to review leadership and oversightIndividuals seeking quality control or assurance roles

The main difference is that Lead Reviewers oversee review processes and manage review teams, focusing on content or compliance, while Quality Assurance Specialists focus on maintaining quality standards across processes and products. Both roles require industry-specific certifications and work in collaborative environments, but their primary focus and responsibilities differ.

More about Lead Reviewer jobs
What job categories do people searching Lead Reviewer jobs look for? The top searched job categories for Lead Reviewer jobs are:
Lead Reviewer jobs near you
Infographic showing various Lead Reviewer job openings in the United States as of May 2026, with employment types broken down into 1% Internship, 3% As Needed, 2% Full Time, 72% Part Time, 2% Temporary, and 20% Contract. Highlights an 70% Physical, 3% Hybrid, and 27% Remote job distribution, with an average salary of $42,094 per year, or $20.2 per hour.

Nurse Reviewer - Sarasota, FL

Healthcare Quality Strategies, Inc.

Sarasota, FL • Remote

$40/hr

Part-time

Medical, Dental, Vision, Life, Retirement

Posted yesterday

Job description

Nurse Reviewer
PT (20-30 hours week) – Remote Work Environment
Non-Exempt: $40.00 hour
Supports Medical Review Services. The Nurse Reviewer plays a critical role in supporting the Medical Review Services department by performing comprehensive medical necessity reviews and policy reviews for Medicaid claims. This involves meticulous examination of claims and medical records to ensure compliance with established guidelines and regulations. The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews must be completed timely.
Essential Duties and Responsibilities:
  • Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies
  • Manage end-to-end case screening processes, ensuring all activities are completed within established deadlines
  • Document evidence-based criteria applicable to specific contract requirements
  • Record and report screening results, including relevant referral questions, into a centralized database
  • Evaluate medical claims against industry standards, utilizing research of relevant ICD-10, CPT, and HCPCS codes to determine medical necessity
  • Maintain expert knowledge of evolving multi-state Medicaid policies and vendor expectations
  • Participate in ongoing training and consistently meet or exceed productivity and quality assurance standards
Knowledge, Experience, Skills and Education:
  • Medical terminology, ICD-10, CPT and HCPCS
  • Clinical criteria (InterQual and MCG)
  • Utilization/Medical record review and chart abstraction
  • Current standards of medical practice
  • Comply with HIPAA/HITECH laws and regulations
Experience in:
  • At least three- five years performing medical record review and/or abstraction (Utilization Review experience preferred)
  • Experience performing medical record review, audit for federal or state contracts
  • Knowledge and experience of Medicare and Medicaid policy
  • Proficiency with Microsoft Office (Word, Excel, and Outlook)
  • Proficiency with Adobe PDF files and features
  • Generating accurate, timely, and understandable correspondence
  • Current experience (within the last 3 years) in the application of clinical screening criteria (InterQual and MCG)
Skills Requirements include:
  • Professional interpersonal skills; ability to interact with providers, physicians and peers
  • Solid analytical, assessment and documentation skills
  • Effective written and verbal communication, both internally and externally
  • Strong attention to detail
  • Strong attention to deadlines
  • Organizational skills including effective time management, priority setting and process improvement
  • Ability to work independently and as a member of a team
  • Adapt to changing work situations and readily adjusts schedules, tasks and priorities when necessary to meet business fluctuations
Educational Background:
  • BSN with active RN licensure in good standing
Physical Demands:
Remote Work, Prolonged Sitting, Screen Exposure
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
Healthcare Quality Strategies, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This position qualifies for the following Company benefits: Medical/Dental/Vision, FSA and HSA, group life/AD amp;D, voluntary life/AD amp;D, 401k
For immediate consideration, please apply via the HQSI Careers Page at: www.hqsi.org gt; Careers gt; Current Employment Opportunities
EOE: Minorities/Females/Disabled/Veterans
Healthcare Quality Strategies, Inc. is Equal Opportunity, Affirmative Action Employer and an Alcohol/Drug Free Workplace
Healthcare Quality Strategies, Inc. is an E-Verify Employer

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