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Medical Review Jobs (NOW HIRING)

Saratoga Ascend

Medical Review Manager

Catonsville, MD · On-site

Medical Review Manager 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 ...

i3logix

Medical Review Specialist

Indianapolis, IN · On-site

$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.

MedWatch

NY · On-site

The Medical Review Specialist is a Registered Nurse who conducts the Utilization Review process by obtaining medical information and confirming the medical necessity of hospital admissions and/or ...

New

True Vet Solutions

Medical Review Assistant

Middleburg, FL · On-site

$17 - $22/hr

Review medical records to determine what is needed for filing claims * Supporting and reassuring Veterans while directly working with them via phone, text, and email * Completing legal documents and ...

Otsuka Pharmaceutical Co., Ltd

R12728The Associate Director, Global Medical Review provides input into the medical review of safety data for investigational and marketed products. The role is responsible for ensuring high-quality ...

CES, LLC

Medical Review Nurse III

Saint Augustine, FL · Remote

The Medical Reviewer will utilize Medicare and/or Medicaid rules, regulations, and guidelines in reviewing medical records documentation to determine if a claim meets these requirements. Primarily ...

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Medical Review information

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$36.5K

$164.7K

$337K

How much do medical review jobs pay per year?

As of Sep 10, 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 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.

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

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.

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.

How do you become a medical reviewer?

To become a medical reviewer, typically one needs a medical degree such as an MD or DO, along with clinical experience in a relevant specialty. Additional qualifications may include familiarity with medical guidelines, strong analytical skills, and sometimes certification in medical review or coding; some roles also require knowledge of healthcare regulations and documentation standards.

How much do medical reviewers make in the US?

Medical reviewers in the US typically earn between $60,000 and $90,000 annually, depending on experience, location, and employer. Many roles require medical credentials and familiarity with healthcare regulations, with some positions offering additional benefits or bonuses.
More about Medical Review jobs

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What are the most commonly searched types of Medical Review jobs?

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What states have the most Medical Review jobs?

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Medical Review jobs near you
Infographic showing various Medical Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $164,731 per year, or $79.2 per hour.

Medical Review Coordinator (SUR)

Orlando, FL

Step Up Rehab, LLC
Offices of Physical, Occupational and Speech Therapists, and Audiologists • 1 - 10 employees
Learn more about Step Up Rehab, LLCexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago

Job description

Join Our Team at Step Up Rehab!
 Are you ready to make a meaningful difference in the lives of others? Step Up Rehab is seeking passionate individuals to join our dynamic team! At various skilled nursing facilities across Florida, you'll provide exceptional rehabilitative care in a supportive and collaborative environment. We prioritize your professional growth and offer a nurturing workplace where your skills and dedication can truly impact the lives of our residents.

Why Choose Step Up Rehab?
  • State-of-the-Art Facilities: Work in modern gyms equipped with the latest technology to enhance patient recovery
  • Competitive Pay: We offer highly competitive salaries to recognize your skills and dedication
  • Employee Appreciation: Participate in monthly events that celebrate your hard work and dedication
  • Flexible Scheduling: We understand the importance of work-life balance and offer flexible hours to fit your lifestyle
  • Comprehensive Benefits: Enjoy health, dental, and vision insurance options, including family plans- Step Up Rehab now proudly offers medical benefits through Blue Cross/Blue Shield!
  • Retirement Security: Secure your future with our 401(k) plans, featuring a generous company discretionary 3% match
  • Generous Paid Time Off: Benefit from a minimum of 21 days of paid time off to recharge and relax
  • Referral Program: Earn $1000 for successfully referring qualified candidates to our team
  • CEU Reimbursement: We support your ongoing education and professional development with reimbursement for continuing education units, available to full-time employees after 6 months of employment
  • Comfortable Staff Ratios: Work in an environment where you can provide quality care without feeling overwhelmed
  • Supportive Culture: Collaborate with a caring staff and management team committed to your success
  • Travel Stipend: We offer a travel stipend to assist with work-related travel expenses

Job Summary

This position is responsible for preparing documentation for (Additional Documentation Requests) ADRs and Appeals. The Medical Review Coordinator will pull all necessary documents to compose a thorough, well-organized and timely packet. It is incumbent upon the Medical Review Coordinator to promote a positive working environment and to serve as a role model in the area of professional behavior. The Medical Review Coordinator assumes responsibility for nonclinical input required in the ADR process. The Medical Review Coordinator collaborates with the Clinical Appeals and Quality Improvement Manager, functions as a liaison with facility staff and corporate consultants in an effort to compile necessary documents as requested by payers.


Responsible To

The Medical Review Coordinator reports directly to Clinical Appeals and Quality Improvement Manager and must also take direction from the Corporate Director of Clinical Quality and Compliance and work effectively with facility management and all other consultants.


General Qualifications

The Medical Review Coordinator is not required to possess any certain degree, credential or designation although an understanding medical documentation is preferred.

Proficiency in time management, organizational skills and computer skills are required.

The Medical Review Coordinator must possess a thorough understanding of required components in ADR packet, payer guidelines and requirements.

They should have experience with Microsoft Office products, specifically Excel. A basic understanding of Electronic Medical Records (EMR) would be helpful.

Must be able to travel quarterly as requested for training or team meetings.

Excellent time management and organizational skills are a must.

Professional attitude and appearance.


Job Description

Adheres to all company and facility policies and procedures (please refer to your Employee Handbook).

Pulls all necessary documents from Net Health, PCC and Facility medical record according to policy to compose ADR or Appeal packet.

In conjunction with Clinical Appeals and Quality Improvement Manager, communicates with facility staff to obtain necessary documentation for ADRs and Appeals.

Attends weekly virtual meeting with medical review team and closely collaborates with the Clinical Appeals and Quality Improvement Manager throughout week as needed.

This position requires that the Medical Review Coordinator is able to work an eight-hour day with an unpaid lunch break. S/he must be able to participate in sustained activity for up to four hours at a time.

Other duties as assigned.


Hours of Work

Full-time, salaried position. The Medical Review Coordinator is a salaried employee and therefore not eligible for overtime.

Standard business hours Monday through Friday, flexibility based on workload and departmental needs

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