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Medical Documentation Reviewer Jobs (NOW HIRING)

Documentation Review Nurse

Flemington, NJ · On-site

$93K - $116K/yr

Documentation Review Nurse Position Summary The Documentation Review Nurse will apply expertise and ... Benefit offerings vary based on status and may include but not be limited to medical, dental ...

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The Physician's primary responsibility is to ensure documentation complies with NYC Human Resources ... Conduct thorough medical reviews of Clinical Assessments and Clinical Reassessments to ensure ...

Medical Documentation Review: * Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation. * Examine medical ...

Review and request appropriate medical documentation according to insurance coverage requirements from physicians and clinical staff to ensure patient qualifies for medical services. * Follow up with ...

Review and request appropriate medical documentation according to insurance coverage requirements from physicians and clinical staff to ensure patient qualifies for medical services. * Follow up with ...

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Medical Documentation Reviewer information

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$5

$41

$72

How much do medical documentation reviewer jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for medical documentation reviewer in the United States is $41.20, according to ZipRecruiter salary data. Most workers in this role earn between $23.08 and $65.87 per hour, depending on experience, location, and employer.

What are Medical Documentation Reviewers?

Medical Documentation Reviewers are professionals who examine and evaluate medical records to ensure accuracy, compliance, and completeness. They review documentation for billing, coding, and regulatory standards, often working in healthcare facilities, insurance companies, or third-party review organizations. Their work helps prevent errors, supports proper reimbursement, and ensures that medical records meet legal and clinical requirements. Medical Documentation Reviewers must have strong attention to detail and a good understanding of medical terminology, healthcare regulations, and coding systems.

What does a medical reviewer do?

A medical reviewer evaluates medical records, claims, and documentation to ensure accuracy, completeness, and compliance with healthcare standards. They identify discrepancies, verify diagnoses, and may provide recommendations for appropriate care or claims processing, often using electronic health record systems and medical guidelines.

What skills do you need to be a medical reviewer?

A medical documentation reviewer needs strong knowledge of medical terminology, coding, and healthcare regulations. Attention to detail, critical thinking, and proficiency with electronic health record systems are essential skills for accurately assessing medical records and ensuring compliance.

What is a clinical documentation reviewer?

A clinical documentation reviewer is a healthcare professional who evaluates medical records to ensure accuracy, completeness, and compliance with coding and billing standards. They often work with electronic health record systems and require knowledge of medical terminology, coding guidelines, and healthcare regulations.

How to become a medical record reviewer?

To become a medical record reviewer, candidates typically need a background in healthcare, such as a registered nurse, medical coder, or healthcare administrator. Relevant skills include attention to detail, knowledge of medical terminology, and familiarity with electronic health record systems; some roles may require certification like Certified Professional Medical Auditor (CPMA).

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

To thrive as a Medical Documentation Reviewer, you need a solid understanding of medical terminology, clinical procedures, and healthcare regulations, often supported by a background in nursing, health information management, or medical coding certification. Familiarity with electronic health record (EHR) systems, coding software (such as ICD-10 and CPT), and auditing tools is typically required. Attention to detail, critical thinking, and strong written communication are crucial soft skills that help ensure accuracy and clarity in documentation. These competencies are essential for maintaining compliance, reducing errors, and supporting effective healthcare delivery.

What are some typical challenges faced by Medical Documentation Reviewers, and how can they be managed?

Medical Documentation Reviewers often encounter challenges such as interpreting complex medical terminology, ensuring compliance with regulatory standards, and managing large volumes of documents under tight deadlines. Staying organized and maintaining a keen attention to detail are crucial for accuracy. Regular training on medical coding updates and effective communication with healthcare providers can also help address ambiguities and improve documentation quality.
More about Medical Documentation Reviewer jobs
What states have the most Medical Documentation Reviewer jobs? States with the most job openings for Medical Documentation Reviewer jobs include:
Infographic showing various Medical Documentation Reviewer job openings in the United States as of June 2026, with employment types broken down into 4% As Needed, 73% Full Time, 19% Part Time, 3% Contract, and 1% Nights. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $85,686 per year, or $41.2 per hour.
Medical Reviewer / Healthcare Provider - Reasonable Accommodations Evaluations

Medical Reviewer / Healthcare Provider - Reasonable Accommodations Evaluations

AdNet AccountNet, Inc.

Remote

Contractor

Posted 13 days ago


Job description

About Us:
AdNet/AccountNet, Inc. is an 8(a), WOSB, LGBTE, and WBE-owned management consulting firm founded in 1990. We blend the best in people with the ongoing demands of the workplace by providing high-quality staffing and executive search services.
Medical Reviewer / Healthcare Provider - Reasonable Accommodation Evaluations
Job Type: Contract
Location: Remote (with occasional U.S. domestic travel for in-person evaluations, as needed)
Schedule: As-needed case-based workload
Applicants MUST reside and be authorized to work in the continental United States.
About the Role
We are seeking experienced and credentialed medical professionals to support an established Reasonable Accommodation (RA) evaluation program. This role involves conducting independent medical documentation reviews, providing written medical assessments, and performing telehealth or in-person evaluations to determine the impact of an individual's medical condition on job-related functions.
This position requires neutral, objective medical analysis, excellent written communication, and the ability to assess a wide range of physical, mental, emotional, psychological, and neurological conditions.
Key Responsibilities
Medical Documentation Review
  • Review medical records, provider statements, diagnostic findings, and functional assessments submitted by RA applicants.
  • Provide a neutral, independent written opinion addressing:
    • Consistency of medical documentation with standard medical practice
    • Diagnostic sufficiency
    • Whether conclusions rely on independent medical judgment
    • Medical consistency between claimed limitations and life activities
    • Impact of medical conditions on essential job functions
    • Necessity and appropriateness of requested accommodations
    • Alternative accommodation recommendations
  • Deliver written reports within 5 calendar days of receiving documentation.
Telehealth & In-Person Evaluations
  • Conduct focused medical evaluations tailored to the individual's reported disability or condition.
  • Review medical documentation prior to scheduling and identify any additional information needed.
  • Provide a full written assessment that includes:
    • Diagnosis (if applicable)
    • Aggravating factors and functional limitations
    • Impact on essential job duties
    • Assessment of requested accommodations
    • Alternative accommodation options
    • Overall medical conclusions
  • Complete evaluations within 10 calendar days of request.
  • Respond to follow-up questions within 5 calendar days.
Program Support & Collaboration
  • Participate in periodic case review meetings (typically monthly).
  • Maintain accurate case tracking and status updates.
  • Update a weekly live status report summarizing ongoing activity, deliverables, and potential issues.
Required Qualifications
  • Active, unrestricted medical license in the United States.
  • Credentials and certifications that match or exceed those of the original treating provider.
  • Clinical expertise relevant to the medical conditions being evaluated.
  • Experience assessing functional limitations and workplace-related medical accommodations.
  • Strong written communication skills with the ability to produce clear, well-structured medical opinions.
  • Ability to perform telehealth evaluations; in-person evaluation capability for U.S. locations as required (no OCONUS travel).
  • High attention to detail, objectivity, and professional neutrality.
Preferred Qualifications
  • Experience conducting independent medical reviews (IMEs) or functional capacity evaluations.
  • Familiarity with workplace accommodation processes or disability assessment programs.
  • Experience with case tracking, reporting, and collaborative review processes.
  • Strong organizational and time-management skills.
Additional Position Details
  • Workload varies based on case volume; typical tasks include documentation reviews (majority), telehealth assessments, and limited domestic travel for in-person evaluations.
  • Deliverables must follow provided formats and templates.
  • Reports and communications must be submitted electronically through secure systems.
  • Orientation and training materials will be provided after onboarding.

AdNet is built on the foundation of unconditional Acceptance and Belonging in our practices, processes, and relationships.