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Medical Review Jobs in Florida (NOW HIRING)

Medical Review Assistant

Middleburg, FL ยท 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 ...

Medical Review (MR) and Appeals 10% * Oversee medical review activities to ensure appropriate and consistent decisions on claim determinations including pre- and post-payment determinations.

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Showing results 1-20

Medical Review information

See Florida salary details

$27.3K

$123.1K

$251.8K

How much do medical review jobs pay per year?

As of Aug 24, 2026, the average yearly pay for medical review in Florida is $123,102.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,800.00 and $200,600.00 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.

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

The most popular types of Medical Review jobs in Florida are:

What cities in Florida are hiring for Medical Review jobs?

Cities in Florida with the most Medical Review job openings:

Infographic showing various Medical Review job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $123,102 per year, or $59.2 per hour.

Medical Review Specialist

Consumer Attorney Records Services

Pensacola, FL โ€ข On-site

Full-time

Posted 10 days ago


Job description


Medical Record Review Specialist
Job Title: Review Specialist I
Department: Review
FLSA Status: Non-Exempt
Schedule: Monday-Friday,8:00am-5:00pm
Location: On-SiteESSENTIAL FUNCTIONS
Medical Record Review and Information Processing

  • Review, analyze, and summarize medical records of varying length, complexity, and medical specialty.
  • Extract, organize, and document factual medical information in accordance with client-specific instructions, company procedures, and quality standards.
  • Complete work using company-approved electronic platforms.
  • Identify relevant information, omissions, inconsistencies, and documentation requirements.
  • Apply learned procedures, project requirements, feedback, and process updates consistently across assignments.


Independent Work Performance

  • Perform assigned duties with minimal supervision.
  • Organize, prioritize, and manage multiple assignments while meeting productivity, quality, and deadline requirements.
  • Exercise judgment and critical thinking within established guidelines and review parameters.
  • Adapt to changing priorities, client requirements, and business needs.


Confidentiality and Compliance

  • Maintain strict confidentiality of Protected Health Information (PHI) and other confidential information.
  • Comply with HIPAA requirements, company policies, confidentiality agreements, client requirements, and applicable security procedures.
  • Exercise discretion when accessing, reviewing, storing, and transmitting confidential information.


Administrative and Team Responsibilities

  • Accurately record work time using designated company systems.
  • Submit required reports and documentation within established deadlines.
  • Follow departmental procedures and quality standards.
  • Demonstrate professionalism, cooperation, flexibility, and responsiveness to coaching and feedback.
  • Support departmental and organizational objectives.


The employee must be able to:


  • Read, comprehend, analyze, and process complex medical documentation.
  • Extract and organize factual information accurately and objectively.
  • Apply written policies, procedures, and project-specific instructions consistently.
  • Exercise critical thinking and sound judgment within established guidelines.
  • Retain and recall detailed procedural and project-specific information.
  • Maintain exceptional attention to detail while performing repetitive computer-based tasks.
  • Prioritize and manage multiple assignments in a deadline-driven environment.
  • Work independently with minimal supervision.
  • Adapt to changing priorities and procedural updates.
  • Communicate professionally and maintain strict confidentiality


PHYSICAL REQUIREMENTS

This position is primarily sedentary and requires prolonged sitting, keyboarding, mouse use, reading electronic medical records, viewing computer monitors, and performing repetitive hand and finger movements. Occasional standing, walking, reaching, and movement within the office may be required. Employees must be able to perform these essential functions with or without reasonable accommodation.

WORK ENVIRONMENT

Work is performed primarily in a professional office setting and involves prolonged computer-based work. Employees regularly use dual monitors, keyboard, mouse, headphones, camera, and electronic record systems while working in a quiet environment that supports concentration, productivity, and confidentiality. Management-approved ergonomic accessories may be used provided they do not interfere with business operations, security requirements, or system functionality.