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Medical Review Jobs (NOW HIRING)

i3logix

Medical Review Specialist

Denver, CO

$21/hr

Medical Review Specialist (MRS) About i3screen: i3screen is a privately held subsidiary of i3logix, a provider of enterprise document management solutions, scheduling solutions, and custom software.

i3logix

Medical Review Specialist

Indianapolis, IN

$19/hr

Medical Review Specialist (MRS) About i3screen: i3screen is a privately held subsidiary of i3logix, a provider of enterprise document management solutions, scheduling solutions, and custom software.

HireRight

Senior Medical Review Officer

Nashville, TN · On-site

Overview The Senior Medical Review Officer (MRO) serves as the organization's senior medical authority for drug testing and occupational health review, ensuring all medical determinations are ...

Empower AI Inc.

Review medical documentation for medical necessity utilizing clinical knowledge and Center for Medicare Services (CMS) policies and guidelines, as well as other state and board regulations.

Empower AI Inc.

Medical Review Specialist V

Review medical documentation for medical necessity utilizing clinical knowledge and Center for Medicare Services (CMS) policies and guidelines, as well as other state and board regulations.

Elevance Health

Medical Review Analyst II

Costa Mesa, CA · On-site

$22.50 - $40.51/hr

Medical Review Analyst II Medical Review Analyst II Location : Any Elevance Health PulsePoint. Ideal candidate will reside within commutable distance to Norfolk, VA; Costa Mesa, CA; or Grand Prairie ...

Elevance Health

Medical Review Analyst II

Roanoke, VA · On-site

$22.50 - $40.51/hr

Medical Review Analyst II Medical Review Analyst II Location : Any Elevance Health PulsePoint. Ideal candidate will reside within commutable distance to Norfolk, VA; Costa Mesa, CA; or Grand Prairie ...

Elevance Health

Medical Review Analyst II

Walnut Creek, CA · On-site

$22.50 - $40.51/hr

Medical Review Analyst II Medical Review Analyst II Location : Any Elevance Health PulsePoint. Ideal candidate will reside within commutable distance to Norfolk, VA; Costa Mesa, CA; or Grand Prairie ...

Elevance Health

Medical Review Analyst II

Los Angeles, CA · On-site

$22.50 - $40.51/hr

Medical Review Analyst II Medical Review Analyst II Location : Any Elevance Health PulsePoint. Ideal candidate will reside within commutable distance to Norfolk, VA; Costa Mesa, CA; or Grand Prairie ...

Novacore

Medical Review Nurse

Conshohocken, PA · On-site

Medical Review Nurse Carbon Stop Loss Solutions is a leading managing general underwriter (MGU) in the field of employer stop loss and managed care insurance. Carbon's team of experts are known as ...

Novacore

Medical Review Nurse

Conshohocken, PA · Remote

Medical Review Nurse Carbon Stop Loss Solutions is a leading managing general underwriter (MGU) in the field of employer stop loss and managed care insurance. Carbon's team of experts are known as ...

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited Independent Review Organization (IRO) that provides objective, evidence-based medical peer reviews nationwide.

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Medical Review information

See salary details

$36.5K

$164.7K

$337K

How much do medical review jobs pay per year?

As of Jun 12, 2026, the average yearly pay for medical review in the United States is $164,731.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $268,500.00 per year, depending on experience, location, and employer.

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

To thrive as a Medical Reviewer, you need a strong understanding of clinical medicine, scientific research, and regulatory guidelines, often supported by a medical degree or advanced healthcare qualification. Familiarity with medical databases, regulatory submission systems, and tools like MedDRA coding or CTD formatting is typically required. Attention to detail, analytical thinking, and effective written communication are essential soft skills for reviewing complex documents and collaborating with multidisciplinary teams. These skills ensure accurate, compliant, and high-quality medical evaluations that support regulatory approvals and patient safety.

What is medical review?

Medical review refers to the process of evaluating medical information, records, or claims to ensure accuracy, compliance, and appropriateness based on clinical guidelines and policies. Professionals in medical review often assess documentation for insurance claims, pre-authorization requests, or clinical trials. Their work helps ensure that patients receive appropriate care and that healthcare providers follow industry standards.

How does a Medical Review professional typically collaborate with other departments within a healthcare or insurance organization?

Medical Review professionals frequently work closely with clinical staff, claims adjusters, and compliance teams to ensure that medical records and claims are accurately assessed and meet regulatory standards. Collaboration often involves discussing complex cases, clarifying clinical documentation, and providing guidance on policy interpretation. Effective communication and teamwork are essential, as Medical Review staff often act as a bridge between medical and administrative teams to support fair and thorough claims processing.

What is the difference between Medical Review vs Medical Coding Specialist?

AspectMedical ReviewMedical Coding Specialist
Required CredentialsMedical degree or clinical background, certifications like CCM or CRCCertification in coding (CPC, CCS), knowledge of coding systems
Work EnvironmentHealthcare facilities, insurance companies, telehealthHospitals, clinics, insurance companies, remote coding
Employer & Industry UsageUsed to assess medical necessity, compliance, and documentationUsed to assign billing codes based on medical records

Medical Review involves evaluating medical records for accuracy, compliance, and appropriateness, often requiring clinical expertise. Medical Coding Specialists focus on translating medical documentation into standardized codes for billing and insurance purposes. While both roles require healthcare knowledge, Medical Review emphasizes clinical assessment, whereas Medical Coding centers on coding accuracy for reimbursement.

More about Medical Review jobs
What cities are hiring for Medical Review jobs? Cities with the most Medical Review job openings:
What are the most commonly searched types of Medical Review jobs? The most popular types of Medical Review jobs are:
What states have the most Medical Review jobs? States with the most job openings for Medical Review jobs include:
Medical Review jobs near you
Medical Review Manager

Medical Review Manager

Saratoga Medical Center

Catonsville, MD • On-site

Full-time

Posted 23 days ago

Job description

Saratoga Medical has an immediate opening for a Medical Review Manager for a program supporting the Centers for Medicare and Medicaid Services (CMS) in Catonsville, MD. The work hours are Monday to Friday from 8:30 am to 5:00 pm.

Qualifications:

* Board Certified in Nursing and licensed to practice nursing in the U.S. and a currently licensed RN

* Minimum of five years of experience practicing as an RN in either an acute hospital, skilled nursing facility, or an office/clinic-based medical practice

* Minimum of two years of experience of supervisory experience with Medicare's program coverage and payment rules

* Experience in MR processes of Medicare Administrative Contractors (MACs), CERT, Supplemental Medical Review Contractor (SMRC), or Railroad Retirement Board (RRB) MAC is preferred

Responsibilities:

*Supervise the Nurse Review staff

* Development, oversight, and implementation of the CERT accuracy medical review processes while supervising the medical review nurses

* Collaborate with the Program Manager, CMD, and other contract staff


Saratoga Medical Center, Inc. is an equal opportunity employer and will not discriminate in recruiting, hiring, training, promotion, transfer, discharge, compensation or any other term or condition of employment on the basis of race, religion, color, age (over age 39), sex, national origin, or on the basis of disability if the employee can perform the essential functions of the job, with a reasonable accommodation if necessary.