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Medical Review Coordinator Jobs (NOW HIRING)

Mercy Medical Center

Medical Review Coordinator

Aurora, IL · On-site

$32 - $46.35/hr

Aurora, IL Responsibilities Coordinates and reviews all medical records, as assigned to caseload. Actively participates in Case Management and Treatment Team meetings. Serves as on-going educator to ...

Prime Healthcare

Medical Review Coordinator

Aurora, IL

$32 - $46.35/hr

Aurora, IL Coordinates and reviews all medical records, as assigned to caseload. Actively participates in Case Management and Treatment Team meetings. Serves as on-going educator to all departments.

National Medical Reviews

Review Coordinator

Warminster, PA · On-site

$65K - $70K/yr

Coordinates case review activities consistent with corporate policy and client-specific procedures ... Interacts on a daily basis with the Chief Medical Director, as needed, to complete case reviews

National Medical Reviews

Review Coordinator

Warminster, PA · On-site

$65K - $70K/yr

Coordinates case review activities consistent with corporate policy and client-specific procedures ... Interacts on a daily basis with the Chief Medical Director, as needed, to complete case reviews

UHS

Utilization Review Coordinator

Mountain City, TN

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

UHS

Utilization Review Coordinator

Mountain City, TN · On-site

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

UHS

Utilization Review Coordinator

Mountain City, TN · On-site

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

UHS

Utilization Review Coordinator

Mountain City, TN · On-site

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

UHS

Utilization Review Coordinator

Mountain City, TN

Utilization Review Coordinator Position Summary Mountain Youth Academy is nestled in Mountain City ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

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Medical Review Coordinator information

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$23

$43

How much do medical review coordinator jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for medical review coordinator in the United States is $23.15, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $23.80 per hour, depending on experience, location, and employer.

How does a Medical Review Coordinator typically collaborate with healthcare providers and insurance companies?

Medical Review Coordinators frequently serve as a liaison between healthcare providers and insurance companies. They review medical records, coordinate the submission of clinical documentation, and clarify information as needed to ensure timely and accurate claims processing. Effective communication and organizational skills are essential, as coordinators often resolve discrepancies and address questions from both parties. This collaborative role helps facilitate efficient care approval and reimbursement processes while maintaining compliance with regulations.

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

To thrive as a Medical Review Coordinator, you need a solid understanding of medical terminology, healthcare regulations, and case management, usually supported by a degree in nursing or a related healthcare field. Familiarity with utilization review software, electronic medical records (EMR) systems, and regulatory compliance tools is essential. Strong organizational skills, attention to detail, and effective communication are critical soft skills for accurately reviewing cases and collaborating with healthcare providers. These competencies ensure thorough and compliant medical reviews, supporting quality patient care and efficient insurance processes.

What are Medical Review Coordinators?

Medical Review Coordinators are professionals who manage and oversee the process of reviewing medical records, insurance claims, and related healthcare documentation. They ensure that all medical information is accurate, complete, and compliant with regulations before decisions are made regarding patient care or insurance coverage. Their role often involves coordinating between healthcare providers, insurance companies, and patients to resolve discrepancies and facilitate smooth communication. Medical Review Coordinators also help identify potential issues with claims and maintain up-to-date records for auditing purposes.

What Are the Responsibilities of a Medical Review Coordinator?

A medical review coordinator works for hospitals, doctor’s offices, nursing homes, care facilities, and independent auditing firms. As a medical review coordinator, you are responsible for writing and editing reports for the medical institution and reviewing healthcare data to ensure that patients’ information is fully documented. Your duties include gathering information from patients’ charts, discussing cases with physicians, and reviewing hospital records. You use this information to compile a complete medical history for patients, which involves routine data entry work using data management systems. In certain instances, you may also act as a third party reviewer to verify patient information.

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

AspectMedical Review CoordinatorMedical Claims Processor
Required CredentialsHealthcare experience, certification preferredHigh school diploma, basic healthcare knowledge
Work EnvironmentHospitals, insurance companies, healthcare facilitiesInsurance companies, healthcare billing offices
Employer & Industry UsageUsed in healthcare and insurance sectors for review rolesPrimarily in insurance and billing departments
Common Search & ComparisonOften compared for review and verification rolesCompared for processing and claims handling

The Medical Review Coordinator focuses on reviewing medical records and ensuring compliance, often requiring healthcare credentials. In contrast, Medical Claims Processors handle billing and claims submission, typically with less specialized training. Both roles are vital in healthcare and insurance industries but serve different functions in claims management and review processes.

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Medical Review Coordinator jobs near you
Infographic showing various Medical Review Coordinator job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution, with an average salary of $48,146 per year, or $23.1 per hour.
Medical Review Coordinator

Medical Review Coordinator

Mercy Medical Center

Aurora, IL

$32 - $46.35/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

Overview

Department: Utilization 

Shift: Full-Time

Facility: Mercy Medical Center

Location: Aurora, IL

Responsibilities

Coordinates and reviews all medical records, as assigned to caseload.  Actively participates in Case Management and Treatment Team meetings. Serves as on-going educator to all departments.  Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from payers/fiscal intermediary etc.; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment.  Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment.  Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. Performs other duties as assigned.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

1.    Medical Graduate, Dental Graduate, PA, or Nursing Graduate required. 

Preferred qualifications:

1.    ECFMG Certification And/or Bachelor's or higher from a US-based accredited institution in a Health and Human Services field is highly preferred.

2.    Utilization Review experience is highly preferred. 

3.    Clinical experience in acute care setting preferred.

4.    Excellent written and verbal communication skills. Excellent critical thinking skills.

5.    Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff.

6.    Ability to work independently in a time-oriented environment

Pay Transparency

Mercy Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $32 to $46.35. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

Employment StatusFull TimeShiftDaysEqual Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

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Employment Type: FULL_TIME

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