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Medical Review Jobs (NOW HIRING)

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited Independent Review Organization (IRO) that provides objective, evidence-based medical peer reviews nationwide.

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited Independent Review Organization (IRO) that provides objective, evidence-based medical peer reviews nationwide.

Lifehealth LLC

Medical Review RN

Washington, DC · On-site

$45/hr

Medical Review RN * Date: Start Date - TBD * Shift Time: 0800-1630 M-F * Location: Washington, DC Position Summary: LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review ...

Abbott

Medical Review Officer (MRO)

Reviews and interprets drug test results, including determining legitimate medical explanations in accordance with federal regulations. * Ensures compliance with specimen collection procedures, chain ...

HireRight

Medical Review Specialist I

Tulsa, OK · On-site

Responsibilities Duties Obtain the required paperwork and prepare the forms required to review non ... Medical Dental Vision Paid Life/AD&D Insurance Voluntary Life Insurance Short- & Long-Term ...

Empower AI Inc.

Medical Reviewer III (Medicare/DRG)

$28.38/hr

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for Diagnosis ...

Cynet Systems

Clinical Medical Review Nurse

Baltimore, MD · On-site

$36.49 - $41.49/hr

Pay Range: $36.49hr - $41.49hr Responsibilities Review, research, and analyze professional and institutional claims using clinical judgment and medical policies for accurate adjudication. Conduct ...

Empower AI Inc.

Medical Reviewer III (Medicare/DRG)

$28.38/hr

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for Diagnosis ...

Empower AI Inc.

Medical Reviewer III (Medicare/DRG)

$28.38/hr

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for Diagnosis ...

HireRight

Medical Review Specialist I

Tulsa, OK · On-site

Duties • Obtain the required paperwork and prepare the forms required to review non-negative drug ... includes: • Medical • Dental • Vision • Paid Life/AD&D Insurance • Voluntary Life ...

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Medical Review information

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$36.5K

$164.7K

$337K

How much do medical review jobs pay per year?

As of Aug 17, 2026, the average yearly pay for medical review in the United States is $164,731.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $268,500.00 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.
More about Medical Review jobs

What cities are hiring for Medical Review jobs?

Cities with the most Medical Review job openings:

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

The most popular types of Medical Review jobs are:

What states have the most Medical Review jobs?

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

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

The top searched job categories for Medical Review jobs are:

Medical Review jobs near you
Infographic showing various Medical Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $164,731 per year, or $79.2 per hour.

PM&R -Independent Medical Reviewer

Managed Medical Review Organization

Remote

Contractor

Re-posted 26 days ago

Job description

About MMRO
Managed Medical Review Organization (MMRO) is an established, URAC-accredited Independent Review Organization (IRO) that provides objective, evidence-based medical peer reviews nationwide. We are currently seeking Board-Certified Physical Medicine & Rehabilitation Physicians to join our network of sub-contracted Physician Reviewers.
Responsibilities
  • Conduct comprehensive and objective medical chart reviews with honesty and integrity.
  • Produce determinations that are clear, concise, and well-supported by evidence.
  • Follow MMRO’s review templates, ensuring all required elements are complete and accurate.
  • Communicate findings in a professional manner using appropriate language and grammar.
  • Complete assigned reviews within the specified deadlines.
  • Respond promptly to communications from MMRO staff.
  • Review and comply with corporate training materials and review standards.
  • Be receptive to constructive feedback from MMRO’s Medical Director, Associate Medical Director, and Clinical Staff.
  • Contribute ideas for process improvement and quality enhancement.
Qualifications
  • Licensure: Current, non-restricted license to practice medicine in any U.S. state or territory, specifically CALIFORNIA medical state license.
  • Board Certification: Maintained certification by a board recognized by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA).
  • Experience:
    • Minimum of five (5) years full-time equivalent experience (37.5–40 hours per week) providing direct clinical care to patients.
    • Current clinical experience within the past three (3) years.
  • Location: Must be physically located within the United States or its territories while conducting reviews.
Why Partner with MMRO
  • Flexible, remote contract opportunity.
  • Set your own schedule and case volume.
  • Collaborate with an experienced and supportive clinical and operations team.
  • Contribute to fair, evidence-based determinations that support quality healthcare decisions.
Join MMRO’s network of expert physician reviewers and make an impact through clinical excellence and integrity.
 

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