ZipRecruiter

Log In

1

Medical Review Analyst Jobs (NOW HIRING)

HireRight

Senior Medical Review Officer

Tulsa, OK

Overview The Senior Medical Review Officer (MRO) serves as the organization's senior medical ... Comfort working with technology-enabled review platforms and data analytics. * Shall comply with ...

HireRight

Senior Medical Review Officer

Atlanta, GA

Overview The Senior Medical Review Officer (MRO) serves as the organization's senior medical ... Comfort working with technology-enabled review platforms and data analytics. * Shall comply with ...

ICBD

Case Review Analyst

Lauderdale Lakes, FL

Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact ... Minimum of 1 year of experience working with clinical records, medical documentation, or ...

ICBD

Case Review Analyst

Fort Lauderdale, FL · On-site

Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact ... Minimum of 1 year of experience working with clinical records, medical documentation, or ...

HireRight

Senior Medical Review Officer

Nashville, TN · On-site

Overview The Senior Medical Review Officer (MRO) serves as the organization's senior medical ... Comfort working with technology-enabled review platforms and data analytics. * Shall comply with ...

ICBD

Case Review Analyst

Lauderdale Lakes, FL · On-site

Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact ... Minimum of 1 year of experience working with clinical records, medical documentation, or ...

Corvel

Medical Bill Review Analyst I

East Hartford, CT · Hybrid

$16.94 - $23.42/hr

The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for multiple states and lines of business. This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

Corvel

Medical Bill Review Analyst I

East Hartford, CT · On-site

$16.94 - $23.42/hr

The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for multiple states and lines of business. This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

UNC Health Careers

Record Review Analyst

Kinston, NC · On-site

Reconciles charges with documentation in patient medical record daily. Enters missed charges ... Oversee value analysis team for surgical services. Supervise Central Supply staff and staff ...

WellSpan Health

Claims Review Analyst

Lewisburg, PA · On-site

Conducts reviews of claim denials and submits appeals. Performs a variety of functions including ... Certified Medical Coder Upon Hire Required or * Registered Health Information Technician Upon Hire ...

Empower AI Inc.

Responsibilities As a Medical Review Specialist V (Medical Reviewer V), you will review and analyze Medicare claims sampled by the Department of Justice, using associated medical records, to make ...

Empower AI Inc.

Medical Review Specialist V

Henrico, VA · On-site

Responsibilities As a Medical Review Specialist V (Medical Reviewer V), you will review and analyze Medicare claims sampled by the Department of Justice, using associated medical records, to make ...

next page

Showing results 1-20

All JobsMedical Review Analyst Jobs

Medical Review Analyst information

See salary details

$5

$30

$48

How much do medical review analyst jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for medical review analyst in the United States is $30.38, according to ZipRecruiter salary data. Most workers in this role earn between $20.43 and $36.06 per hour, depending on experience, location, and employer.

How do you become a medical reviewer?

To become a medical review analyst, candidates typically need a medical degree such as an MD or RN license, along with experience in healthcare or medical coding. Additional certifications like Certified Professional Coder (CPC) or medical billing training can be beneficial, and strong analytical skills are essential for reviewing medical records and claims accurately.

What jobs pay $2000 a day?

In the context of a Medical Review Analyst, earning $2000 a day typically requires specialized skills, extensive experience, and often working as a consultant or in high-level roles such as medical director or senior reviewer. Such compensation is usually associated with freelance consulting, contract work, or executive positions in healthcare or insurance industries. These roles often demand certifications, a strong understanding of medical policies, and the ability to handle complex case reviews efficiently.

What are Medical Review Analysts?

Medical Review Analysts are professionals who evaluate medical records, insurance claims, or healthcare data to ensure accuracy, compliance, and adherence to regulations and policies. They often work for insurance companies, healthcare providers, or government agencies, reviewing documents to determine if medical services are justified and properly documented. Their role is crucial in preventing fraud, ensuring proper billing, and supporting quality healthcare delivery. Medical Review Analysts must have a strong understanding of medical terminology, coding, and healthcare regulations.

What is a medical review analyst?

A medical review analyst evaluates healthcare claims, medical records, and documentation to determine the accuracy and validity of insurance or billing submissions. They often work with healthcare data, use industry guidelines, and may require knowledge of medical coding and compliance standards. The role involves analyzing complex medical information to support claims processing and fraud detection.

What are some common challenges Medical Review Analysts face when evaluating complex medical claims?

Medical Review Analysts often encounter challenges such as interpreting incomplete documentation, staying updated with evolving healthcare regulations, and ensuring compliance with payer guidelines. Analyzing complex or ambiguous medical records requires strong attention to detail and critical thinking skills. Collaboration with healthcare providers and other internal teams is frequently necessary to clarify information and support accurate decision-making. Successfully managing these challenges is crucial for maintaining the integrity of the claims review process and ensuring fair outcomes.

How much do medical reviewers make in the US?

Medical Review Analysts in the US typically earn between $50,000 and $75,000 annually, depending on experience, location, and employer. Salaries can vary based on certifications, such as medical coding or clinical review credentials, and the complexity of cases handled.

What is the difference between Medical Review Analyst vs Medical Claims Processor?

AspectMedical Review AnalystMedical Claims Processor
Required CredentialsTypically requires a healthcare-related certification or background, such as a nursing license or medical coding certificationUsually requires basic high school diploma or equivalent; some roles prefer medical billing or coding certification
Work EnvironmentOffice setting, reviewing medical records and claims, often involving detailed analysisOffice setting, processing and entering claims data, handling administrative tasks
Employer & Industry UsageHealth insurance companies, third-party administrators, healthcare providersHealth insurance companies, healthcare providers, billing companies

The Medical Review Analyst focuses on evaluating medical records and claims for accuracy and compliance, often requiring healthcare credentials. In contrast, Medical Claims Processors primarily handle the administrative processing of claims, with less emphasis on clinical knowledge. Both roles are essential in the healthcare insurance industry but differ in responsibilities and required qualifications.

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

To thrive as a Medical Review Analyst, you need a solid understanding of medical terminology, healthcare regulations, and clinical documentation, usually supported by a degree in a health-related field or nursing. Familiarity with medical coding systems (such as ICD-10 and CPT), claims management software, and regulatory compliance tools is essential. Attention to detail, analytical thinking, and strong written communication skills distinguish top performers in this role. These skills ensure accurate evaluation of medical claims, compliance with industry standards, and effective communication with healthcare providers.
More about Medical Review Analyst jobs
What cities are hiring for Medical Review Analyst jobs? Cities with the most Medical Review Analyst job openings:
Who are the top companies hiring for Medical Review Analyst jobs? The top employers for Medical Review Analyst jobs are:
What states have the most Medical Review Analyst jobs? States with the most job openings for Medical Review Analyst jobs include:
What job categories do people searching Medical Review Analyst jobs look for? The top searched job categories for Medical Review Analyst jobs are:
Medical Review Analyst jobs near you
Infographic showing various Medical Review Analyst job openings in the United States as of June 2026, with employment types broken down into 5% Locum Tenens, 23% As Needed, 53% Full Time, 5% Part Time, 9% Contract, and 5% Nights. Highlights an 81% Physical, 8% Hybrid, and 11% Remote job distribution, with an average salary of $63,187 per year, or $30.4 per hour.
Utilization Review Analyst

Utilization Review Analyst

EAGLEVILLE HOSPITAL

Eagleville, PA

Other

Posted 16 days ago

Job description

Eagleville Hospital, an independent substance use and behavioral health treatment and educational organization serving the community for more than a century, provides innovative compassionate care to those seeking treatment for stigmatized illnesses including substance use and mental health.

Position Summary

Review and abstract pertinent data from medical records and communicates information to all various insurance companies and/or their contractual agencies to guarantee continued financial coverage.

This position reports to the Utilization Review Director

Objectives / Responsibilities

  • Reviews admissions to determine medical necessity and appropriateness of treatment.
  • Reviews patient records to obtain justification of treatment.
  • Secures necessary data from the clinical team for extended stay reviews.
  • Presents abstracts (via telecon) of clinical course of treatment to all various insurance companies and/or their contractual agencies, to justify continued treatment.
  • Review, abstracts and assigns initial length of stay and extensions of treatment as appropriate for all payers as assigned
  • Communicates all extensions of treatment to clinical teams and Director, Utilization Review (UR)
  • Notify clinical teams of need for current documentation.
  • Refer cases to Director, UR when appropriateness of and necessity of extended stay is questionable.
  • Attend appropriate daily treatment team meeting
  • Salary Range: $50-$57/yr

Educational Requirements

  • Bachelor’s Degree Preferred

Competencies

  • Patient-Centered Approach – Treat all individuals with dignity, empathy, and respect, recognizing that every role contributes to the patient experience.
  • Excellence & Accountability – Perform all duties with professionalism, following hospital policies to ensure safety, compliance, and efficiency.
  • Teamwork & Communication – Collaborate with colleagues across departments, maintaining a positive and solution-oriented attitude.
  • Commitment to Our Mission – Uphold the hospital’s values and contribute to a culture of trust, inclusivity, and continuous improvement.

Qualifications

  • 3+ years of UR or case management experience in Substance Use /Behavioral Health
  • Good communication
  • Ability to work independently
  • Experience with Microsoft applications
  • Knowledge of pre-certification process and ASAM. Knowledge of DSM V, private care managers and county referral sources

Physical Requirements

  • Ability to sit for long periods
  • Ability to walk around campus if needed
  • Good dexterity, must be able to type
  • Use of telephone

Work Environment

  • Office setting

Apply