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Medical Records Reviewer Jobs (NOW HIRING)

ICBD

Medical Records Reviewer

Lauderdale Lakes, FL · On-site

$16.25 - $19.25/hr

Medical Records Reviewer - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in ...

ICBD

Medical Records Reviewer

Lauderdale Lakes, FL · On-site

$17 - $20.25/hr

Medical Records Reviewer - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in ...

ICBD

Medical Records Reviewer

Fort Lauderdale, FL · On-site

$16.25 - $19.25/hr

Medical Records Reviewer - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in ...

Bienvivir

Medical Records Reviewer

El Paso, TX

$10K/mo

MEDICAL RECORDS REVIEWER The Medical Records Reviewer works under the general supervision of the Medical Records (MR) Supervisor, is responsible for complying with and enforcing organization and ...

Bienvivir

Medical Records Reviewer

El Paso, TX · On-site

$10K/mo

MEDICAL RECORDS REVIEWER The Medical Records Reviewer works under the general supervision of the Medical Records (MR) Supervisor, is responsible for complying with and enforcing organization and ...

ICBD

Medical Records Reviewer

Fort Lauderdale, FL

$16.25 - $19.25/hr

Medical Records Reviewer - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in ...

LifeLink

Medical Records Review Coordinator

Tampa, FL · On-site

$16.75 - $21.75/hr

The Medical Record Review Coordinator is responsible for utilizing hospital electronic medical records to assess for determination of donor potential and hospital performance for donation ...

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Medical Records Reviewer information

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How much do medical records reviewer jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for medical records reviewer in the United States is $18.15, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $19.47 per hour, depending on experience, location, and employer.

What does a Medical Records Reviewer do?

A Medical Records Reviewer is responsible for examining patient medical records to ensure accuracy, completeness, and compliance with healthcare regulations and standards. They review documentation for quality assurance, verify that records meet legal and ethical guidelines, and sometimes assist in coding diagnoses and procedures for billing purposes. Medical Records Reviewers play a crucial role in maintaining data integrity, supporting patient care, and facilitating audits or insurance claims. Their work helps healthcare organizations avoid errors and improve overall service quality.

What skills do you need to be a medical reviewer?

Medical records reviewers need strong attention to detail, knowledge of medical terminology, and familiarity with healthcare documentation and coding systems. They should have good analytical skills, the ability to interpret medical records accurately, and often require certification such as RHIT or RHIA. Proficiency with electronic health record systems and understanding of privacy regulations like HIPAA are also important.

What is the difference between Medical Records Reviewer vs Medical Coder?

AspectMedical Records ReviewerMedical Coder
CertificationsTypically requires HIPAA training, sometimes RHIT or RHIARequires CPC, CCS, or similar coding certifications
Work EnvironmentHealthcare facilities, insurance companies, legal settingsHospitals, clinics, insurance companies, billing services
Job FocusReviewing and ensuring accuracy of medical recordsAssigning standardized codes to diagnoses and procedures
Common Search/ComparisonMedical Records Reviewer vs Medical Coder

While both roles work within healthcare documentation, Medical Records Reviewers focus on verifying and maintaining the accuracy of medical records, often requiring knowledge of healthcare regulations. Medical Coders, on the other hand, translate medical diagnoses and procedures into standardized codes for billing and insurance purposes. Both roles require specific certifications and are vital in healthcare administration, but they serve different functions within the medical documentation process.

Can you work from home doing medical records?

Medical Records Reviewers often have the option to work remotely, especially if they have access to electronic health record systems and meet the necessary security and confidentiality requirements. Many employers offer remote positions, but some roles may require on-site presence for certain tasks or audits.

How to become a medical record reviewer?

To become a medical record reviewer, candidates typically need a background in healthcare, such as a medical coding, health information management, or nursing certification. Relevant skills include attention to detail, knowledge of medical terminology, and familiarity with electronic health record systems; some positions may require certification like the Certified Professional Medical Auditor (CPMA). Entry often involves completing relevant training or education, gaining experience in medical coding or billing, and understanding healthcare regulations and privacy laws.

What is a medical record reviewer?

A medical record reviewer is a professional who examines and evaluates patient records to ensure accuracy, completeness, and compliance with healthcare regulations. They often work in healthcare facilities or insurance companies, using electronic health record (EHR) systems and may require knowledge of medical coding and documentation standards.

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

To thrive as a Medical Records Reviewer, you need a solid understanding of medical terminology, healthcare documentation standards, and relevant privacy regulations, often supported by a background in health information management or a related field. Proficiency with electronic health record (EHR) systems, coding software (such as ICD-10 and CPT), and sometimes certification like RHIT or CCS is typically required. Attention to detail, critical thinking, and strong organizational skills help set candidates apart in this role. These competencies are vital to ensure accurate and compliant record reviews, supporting patient care quality and legal requirements.

What are some common challenges faced by Medical Records Reviewers, and how can they be managed effectively?

Medical Records Reviewers often encounter challenges such as incomplete or inconsistent documentation, tight deadlines, and ensuring compliance with privacy regulations like HIPAA. To manage these effectively, it’s important to develop strong attention to detail, maintain up-to-date knowledge of relevant laws and standards, and use organizational tools to track and prioritize cases. Collaboration with healthcare providers and coding specialists can also help clarify ambiguities and ensure accurate record review.
More about Medical Records Reviewer jobs
What cities are hiring for Medical Records Reviewer jobs? Cities with the most Medical Records Reviewer job openings:
What states have the most Medical Records Reviewer jobs? States with the most job openings for Medical Records Reviewer jobs include:
What job categories do people searching Medical Records Reviewer jobs look for? The top searched job categories for Medical Records Reviewer jobs are:
Medical Records Reviewer jobs near you

Medical Records Reviewer

ICBD

Lauderdale Lakes, FL • On-site

$16.25 - $19.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

Medical Records Reviewer - Exact Billing Solutions (EBS)
Lauderdale Lakes, FL - On-site
Who We Are
Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.
EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations.
Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and client-first innovation.
Our Origin Story
Exact Billing Solutions was launched to address one of healthcare's most persistent challenges: the burden of billing and insurance administration on providers. With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties.
Recognition & Awards
Exact Billing Solutions contributes heavily to the success of the broader ICBD family office ecosystem and benefits from the recognition awarded to other portfolio companies, including:
  • Inc. 5000, 2024 - Top 5 Fastest-Growing Private Companies in America (ABA Centers of America)
  • EY Entrepreneur Of The Year® U.S. Overall
  • Florida Trend Magazine - 500 Most Influential Business Leaders

About the Role
As a Medical Records Reviewer, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare resources.
The Medical Records Reviewer will assist in reviewing and processing records to submit for authorization to the payors. This position collaborates closely with clinical teams, insurance providers, and other healthcare professionals to support efficient and effective patient care.
Requirements
  • Review and analyze clinical records, including received documentation from payors, to ensure compliance with ABA therapy best practices and insurance requirements.
  • Accurately input and maintain clinical records, authorization requests, and related documents into the electronic health records (EHR) or other relevant systems.
  • Assist in tracking and organizing all documentation for utilization reviews, ensuring that all records are complete, accurate, and accessible for audits and reviews.
  • Monitor the status of pending authorizations and document updates or changes to treatment plans in a timely manner.
  • Assist in processing and reviewing requests for treatment authorization, working with clinicians to verify that all necessary documentation is available for review.
  • Assess the appropriateness and necessity of healthcare services, ensuring they align with established guidelines and policies.
  • Work closely with interdisciplinary teams, Board Certified Behavior Analysts, Registered Behavior Technicians, and other healthcare professionals to gather insights and ensure comprehensive reviews.
  • Assist in preparing records and documentation for external audits or insurance company reviews, ensuring that all necessary information is submitted and compliant with guidelines.
  • Identify any discrepancies, missing documentation, or areas where clinical records may require updates to meet the standards.
  • Assist in coordinating with insurance providers to obtain authorization and resolve any issues related to service utilization or claims denials.
  • Provide requested documentation and supporting materials for authorization and reauthorization requests, ensuring timely submission to insurance companies.
  • Maintain records of communications with insurance companies, clinical teams, and other relevant stakeholders.
  • Analyze trends in authorization requests, approvals, and denials and provide reports or insights to management to identify areas for process improvement.
  • Track utilization patterns, service delivery, and compliance with payer requirements to support continuous improvement in the utilization review process.
  • Communicate effectively with team members to ensure the smooth processing of treatment authorizations and timely updates on status or concerns.
  • Provide clear communication regarding the status of clinical record reviews, authorization requests, and insurance queries.
  • Participate in quality-improvement initiatives to enhance the overall efficiency and effectiveness of healthcare delivery.

Qualifications
  • Associate's or Bachelor's degree in Healthcare Administration, Medical Records, Behavioral Health, or a related field.
  • Certification in Health Information Management (e.g., RHIA, RHIT) is a plus but not required.
  • Minimum of 1 year of experience working with clinical records, medical documentation, or utilization review, preferably in ABA therapy, behavioral health, or healthcare settings.
  • Proven experience in utilization reviews or a related field with a strong understanding of healthcare service delivery and documentation processes is highly desirable.
  • Must maintain clean background/drug screenings and driving record.

Expertise Needed
  • Familiarity with industry standards, guidelines, and best practices related to utilization review.
  • Ability to analyze complex clinical documentation, treatment plans, and medical records.
  • Strong critical thinking skills to assess the appropriateness and necessity of healthcare services.
  • Strong analytical and critical thinking skills.
  • Excellent communication and interpersonal skills.

Benefits
  • 21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays).
  • Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
  • Medical, dental, vision, long-term disability, and life insurance.
  • Generous 401(k) with up to 6% employer match.

Exact Billing Solutions (EBS) Culture
Integrity. Dependability. Attention to detail. All our team members exhibit these qualities when it comes to doing business. And when it comes to the business of supporting a team, as a company, we offer no less to our team members. We're a fast-paced, growing company delivering services that allow our clients to spend more time helping people. At the end of the day, it's people, not numbers, that drive our success.
Exact Billing Solutions participates in the U.S. Department of Homeland Security E-Verify program.

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