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Medical Review Coordinator Jobs (NOW HIRING)

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 ...

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 ...

Coordinates the utilization management functions of a patient caseload through collaboration with ... Off Excellent Medical, Dental, Vision and Prescription Drug Plans Employee Assistance Program ...

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Medical Review Coordinator information

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How much do medical review coordinator jobs pay per hour?

As of Aug 8, 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 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.

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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What are the most commonly searched types of Medical Review jobs? The most popular types of Medical Review jobs are:
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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, 79% Full Time, 15% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $48,146 per year, or $23.1 per hour.

Medical Review Administrative Coordinator

4P Consulting Inc

Atlanta, GA

Full-time

Posted 5 days ago


Job description

A consulting firm in Atlanta is looking for a dedicated Administrative Assistant specializing in Medical Review Support. The role involves maintaining confidentiality while providing essential administrative and compliance support, including processing medical questionnaires and coordinating office tasks. Candidates should have a medical background, experience in reviewing documentation, and strong organizational skills. Proficiency in Microsoft Office is required, and a keen attention to detail is crucial. This position offers a contract lasting three years. #J-18808-Ljbffr