ZipRecruiter

Log In

1

Medical Review Coordinator Jobs (NOW HIRING)

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

Champaign, IL · On-site

$61K - $71K/yr

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health ... Excellent Medical, Dental, Vision and Prescription Drug Plan * 401(K) with company match and ...

UHS

UTILIZATION REVIEW COORDINATOR

Danville, VA · On-site

Our team also works diligently to address or manage medical conditions and challenging behaviors ... Review Reports as necessary. · Coordinates and makes Retrospective Appeals to third party payers ...

Human Resources

Utilization Review Coordinator

Aurora, CO · On-site

$64K/yr

... medical necessity is clearly documented, communicated, and defended throughout each patient ... Reporting to the Director of Utilization Review with a dotted-line relationship to the Director of ...

UHS

Utilization Review Coordinator

Phoenix, AZ · On-site

Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

New

UHS

Utilization Review Coordinator

Champaign, IL

Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health ... Excellent Medical, Dental, Vision and Prescription Drug Plan * 401(K) with company match and ...

previous pagenext page

Showing results 21-40

All JobsHealthcare JobsHospital JobsMedical Services Coordinator JobsMedical Review Coordinator Jobs

Medical Review Coordinator information

See salary details

$15

$23

$43

How much do medical review coordinator jobs pay per hour?

As of Sep 2, 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.

What is a medical review coordinator?

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.

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 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.

More about Medical Review Coordinator jobs

What cities are hiring for Medical Review Coordinator jobs?

Cities with the most Medical Review Coordinator job openings:

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

The most popular types of Medical Review jobs are:

Who are the top companies hiring for Medical Review Coordinator jobs?

The top employers for Medical Review Coordinator jobs are:

What states have the most Medical Review Coordinator jobs?

States with the most job openings for Medical Review Coordinator jobs include:

What job categories do people searching Medical Review Coordinator jobs look for?

The top searched job categories for Medical Review Coordinator jobs are:

What are popular job titles related to Medical Review Coordinator jobs?

For Medical Review Coordinator jobs, the most frequently searched job titles are:

Medical Review Coordinator jobs near you
Infographic showing various Medical Review Coordinator job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 100% In-person job distribution, with an average salary of $48,146 per year, or $23.1 per hour.

Review Coordinator

National Medical Reviews

Warminster, PA • On-site

$65K - $70K/yr

Full-time

Re-posted 25 days ago

Job description

Role and Responsibilities:

  • Coordinates case review activities consistent with corporate policy and client-specific procedures
    • Determines the types of review, peer clinical reviewer specialties and selects peer clinical reviewers
    • Oversees the logging of cases 
      • Verifies peer clinical reviewer credentials and lack of conflict of interest
      • Corresponds with reviewers regarding availability, expertise, deadline, etc. 
    • Negotiates and assigns peer clinical reviewer fees (as authorized by the Vice President)
    • Ensures that the invitation in URPP is forwarded to, and received by, the peer clinical reviewer in a timely manner 
    • Maintains active dialogs with the client and the peer clinical reviewer while the case is under review
    • Monitors case due date and takes steps to ensure timely return to the client
    • Ensures that the peer clinical reviewer’s determination is complete and oversees transcription
    • Notifies the client and other designated parties of the final determination
  • Interacts on a daily basis with the Chief Medical Director, as needed, to complete case reviews
  • Serves as the primary liaison and resource for clients and peer clinical reviewers
  • Assists in the recruitment of new peer clinical reviewers
  • Participates in staff and/or client meetings and telephone conferences, as needed
  • Actively participates in the orientation and training of new Review Coordinator Assistants
  • Participates in quality improvement activities, as requested 


Education, Experience and Professional Competencies:

  • Holds a post-secondary degree;
  • Has undergone formal training in a health care field;
  • Experience in health insurance, utilization review, quality management and/or managed care
  • Pursues excellence while achieving results within defined parameters
  • Listens effectively and expresses ideas, both verbally and non-verbally, to achieve understanding
  • Demonstrates flexibility and effectiveness with changing tasks, responsibilities and people
  • Maintains stable and effective performance under pressure or demanding challenges


Physical Demands:

  • Must be able to both speak clearly and hear, as frequent use of the telephone is required 
  • Must be able to work under conditions of frequent stress in order to meet deadlines 
  • Must have sufficient close-vision capabilities and use of hands in order to perform computer tasks
  • Must be able to sit for extended periods of time