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Medical Document Reviewer Jobs in Virginia (NOW HIRING)

University of Virginia

Medical Scribe

Charlottesville, VA · On-site

$15 - $21.16/hr

Performs random chart reviews for quality assurance medical documentation purposes. * Keeps chart deficiencies to less than 5%. * Assists the physician with communicating their patient care plans ...

Zimmer, Inc.

Document Control Coordinator

Norfolk, VA · On-site

How You'll Create Impact Responsible for review of batch records, creating Certificate of ... Experience working for product for medical devices. Salary Ranges: 41,600.00 - 52,000.00 Travel ...

Commence

IDR Coder Reviewer

Virginia Beach, VA · On-site

$45 - $70/hr

Subject matter expert in clinical documentation review, clinical data abstraction, clinical coding, auditing, and variables impacting payment methodologies that are based in medical record ...

Bowman

Lead Title Reviewer

Reston, VA · On-site

$33.63 - $42.04/hr

Document review comments, required revisions, and final approvals in project tracking systems ... Medical, dental, vision, life, and disability insurance * 401(k) retirement savings plan with ...

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Medical Document Reviewer information

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$41

$99

How much do medical document reviewer jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for medical document reviewer in Virginia is $41.70, according to ZipRecruiter salary data. Most workers in this role earn between $22.64 and $53.61 per hour, depending on experience, location, and employer.

What is a medical document reviewer?

A Medical Document Reviewer analyzes medical records, insurance claims, and other healthcare-related documents for accuracy, compliance, and completeness. They ensure that medical documentation aligns with regulatory standards and organizational policies. This role is common in insurance companies, law firms, and healthcare organizations, where accurate medical documentation is crucial for claims processing, legal cases, and patient care. Strong attention to detail, medical knowledge, and familiarity with industry regulations are essential for success in this role.

What are the typical daily responsibilities of a medical document reviewer?

As a Medical Document Reviewer, your typical day will involve carefully reviewing and validating medical records, charts, or insurance documents to ensure accuracy, completeness, and compliance with regulations. You may collaborate with healthcare providers or administrative teams to clarify ambiguous information or request missing data. Attention to detail is vital, as minor errors could affect billing, patient care, or legal compliance. This role often offers both independent and collaborative work, depending on the employer, and provides opportunities to develop expertise in regulatory and documentation standards.

What are the key skills and qualifications needed to thrive as a medical document reviewer?

To thrive as a Medical Document Reviewer, you need a solid understanding of medical terminology, healthcare documentation standards, and relevant regulatory guidelines, typically supported by a degree in health sciences, nursing, or a related field. Familiarity with electronic health record (EHR) systems, coding software, and compliance tools like HIPAA guidelines is essential. Strong attention to detail, analytical thinking, and effective written communication are crucial soft skills for success. These abilities ensure the accurate, compliant, and timely review of medical documents, directly impacting patient care and organizational integrity.

What are the most commonly searched types of Medical Document Reviewer jobs in Virginia?

The most popular types of Medical Document Reviewer jobs in Virginia are:

What are popular job titles related to Medical Document Reviewer jobs in Virginia?

For Medical Document Reviewer jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Medical Document Reviewer jobs in Virginia look for?

The top searched job categories for Medical Document Reviewer jobs in Virginia are:

Medical Document Reviewer jobs near you
Infographic showing various Medical Document Reviewer job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 22% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $86,726 per year, or $41.7 per hour.

Remote Cardiology, Physician Clinical Reviewer

Evolent

Arlington, VA • On-site, Remote

Other

Posted 26 days ago

Evolent rating

8.4

Company rating: 8.4 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

73rd of 499 rated business services

Job description

As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes.



Collaboration Opportunities:  


  • Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. As well as, aids and acts as a resource to Initial Clinical Reviewers.



What You Will Be Doing:


  • Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert.

  • Provides clinical rationale for standard and expedited appeals.

  • Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request.

  • Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines.

  • Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner.

  • Participates in on-going training per inter-rater reliability process.

  • May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support.

  • On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director.



Qualifications - Required and Preferred:


  • MD/DO/MBBS Degree

  • Current, unrestricted clinical license in medicine or required specialty

  • Obtaining and maintaining medical licenses in the state you reside, as well as, other state licensure required per business needs

  • Active Board Certification in Cardiology, Vascular Surgery or Adult Congenital Heart Disease

  • Strong clinical, management, communication, and organizational skills

  • Energetic and curious with a passion for quality and value in health care

  • Computer Proficiency

  • Minimum of five (5) years’ experience in the practice of Cardiology is preferred

  • Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an “excluded person” by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare.

  • No history of a major disciplinary or legal action by a state medical board

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