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Medical Reviewer Jobs in Alabama (NOW HIRING)

Birmingham

Quality Review Coordinator

Birmingham, AL · On-site

The Medical Review Unit develops, implements, and administers programs such as Medical Review and Preferred Medical Doctor, to determine medical necessity of services and impact cost savings.

Kedrion S.p.A.

Medical Screener

Mobile, AL · On-site

Guide donors through the health screening process, including reviewing self-administered health history forms and determining if further medical review is needed. * Perform vital signs assessments ...

Ourhrconnect

Reviews physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization. * Conducts research into new or controversial medical procedures ...

Ourhrconnect

Reviews physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization. * Conducts research into new or controversial medical procedures ...

Kedrion S.p.A.

Medical Screener

Mobile, AL · On-site

Guide donors through the health screening process, including reviewing self-administered health history forms and determining if further medical review is needed. * Perform vital signs assessments ...

Ourhrconnect

Reviews physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization. * Conducts research into new or controversial medical procedures ...

Ourhrconnect

Reviews physician and provider practice pattern analysis and other statistical data related to unusual medical service utilization. * Conducts research into new or controversial medical procedures ...

Harris

Esrun Health is seeking Medical Assistants to work part-time from their home office as independent ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

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Medical Reviewer information

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$10

$38

$91

How much do medical reviewer jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for medical reviewer in Alabama is $38.12, according to ZipRecruiter salary data. Most workers in this role earn between $20.72 and $49.04 per hour, depending on experience, location, and employer.

What does a medical reviewer do?

As a medical reviewer, your primary responsibilities are to review medical records to ensure accuracy. You address any issues or errors that you find with your supervisor’s assistance and contact medical providers to update information about patients. You may also audit medical files to determine whether the medical provider’s documentation complies with all federal and state regulations that affect accreditation, or if the facility qualifies for specific federal funding or participation in programs like Medicare. Medical reviewers most commonly work for an internal department at a hospital, medical care facility, or an outside organization, such as an insurance company or government agency.

What are the key skills and qualifications needed to thrive as a medical reviewer, and why are they important?

To thrive as a Medical Reviewer, you need a thorough understanding of medical terminology, clinical research, and regulatory guidelines, usually backed by a medical or pharmacy degree. Familiarity with tools like MedDRA, safety databases, and document management systems, as well as certifications in pharmacovigilance, are commonly required. Strong analytical skills, attention to detail, and effective written communication set standout professionals apart in this role. These skills ensure accurate evaluation of medical documents, regulatory compliance, and the safety of patients participating in clinical trials.

How does a medical reviewer typically collaborate with other departments during the drug approval process?

Medical Reviewers work closely with cross-functional teams, including clinical research, regulatory affairs, pharmacovigilance, and biostatistics. They review clinical trial data, ensure documentation complies with regulatory standards, and provide medical expertise during regulatory submissions. Effective communication is essential, as Medical Reviewers often participate in multidisciplinary meetings to address queries and ensure consistency in data interpretation throughout the approval process.

What is the difference between Medical Reviewer vs Medical Writer?

AspectMedical ReviewerMedical Writer
Required CredentialsMedical degree (MD, DO, PharmD), licensure often preferredBackground in life sciences, writing skills, often with a degree in related fields
Work EnvironmentPharmaceutical companies, CROs, regulatory agencies, hospitalsPharmaceutical companies, marketing agencies, publishing firms
Employer & Industry UsageReview clinical data, regulatory documents, ensuring accuracyCreate scientific content, clinical study reports, marketing materials

Medical Reviewers primarily verify the accuracy and compliance of clinical and regulatory documents, requiring medical credentials. Medical Writers focus on creating clear, accurate scientific content, often with a background in life sciences. Both roles are essential in the healthcare and pharmaceutical industries but serve different functions in the documentation process.

More about Medical Reviewer jobs

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Medical Reviewer jobs near you
Infographic showing various Medical Reviewer job openings in Alabama as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 15% Part Time, and 8% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $79,288 per year, or $38.1 per hour.

Medicare Appeals Reviewer I (Dispute Resolution Reviewer I)

St. George Tanaq Corporation

Montgomery, AL • On-site

Other

Re-posted 14 days ago

Job description

Medicare Appeals Reviewer I (Dispute Resolution Reviewer I)

Fully Remote-United States

Job Type

Full-time

Description

Overview

Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture, technology, and other government services. TSS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders.

About the Role

We are seeking a Medicare Appeals Reviewer I (Dispute Resolution Reviewer I) to support our federal client. In this role, you will review Medicare enrollment appeal and rebuttal cases, evaluate supporting documentation and evidence, and issue independent determinations based on applicable laws, regulations, policies, and guidelines.

This role will work under general supervision, with moderate latitude for initiative and independent judgment.

This is a remote position that can be based anywhere in the United States; candidates must reside in the United States. Must be able to work on a rotating schedule on weekends and holidays.

Responsibilities

  • Reviews medical records/case file, writes a decision that is clear, concise, and impartial and supports the determination made, and documents review

  • Makes sound, independent decisions based on medical evidence in accordance with statutes, regulation, rulings, and policy

  • Responds to and ensures that all issues raised by the beneficiary, representative, supplier, and provider have been addressed

  • Provides a fair and impartial decision based on current evidence, regulations, policies, and procedures

  • Conducts research using online federal regulations, contract policy, standards of medical practice, contract manuals, coverage issues manuals, medical literature, and other related resources to complete an accurate and well-supported decision

  • Stays abreast of changes in regulations, medical and healthcare practices, policies and procedures

  • Participates in special projects and performs other duties as assigned

Requirements

Required Experience and Skills

  • One (1) year of Medicare appeals, medical review, clinical, healthcare regulatory interpretation/application, healthcare compliance or related experience in a healthcare setting

  • Knowledge and experience following HIPAA regulations and personally identifiable information (PII).

  • Experience using Microsoft 365, including Excel and Word.

  • Must be able to pass Federal and state criminal background checks, as required by client.

  • Must be able to pass a drug screen, as required by the client.

  • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

Preferred Qualifications

  • Experience working within the federal public health agency environment.

  • Experience in appeals and billing.

  • Previous CMS guidelines or manual knowledge, particularly with the No Surprises Act.

  • Medical Coding certified.

Education and Training

  • Associate's degree or 60 or more credit hours towards a Bachelor's degree from an accredited college or university in healthcare or related discipline.

  • Experience in Medicare appeals, medical review, clinical, or other related experience in a healthcare setting may be substituted for an Associate's degree on a year-for-year basis (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent)

Physical Requirements

  • Prolonged periods of sitting at a desk and working on a computer. May need to lift 25 pounds occasionally.

Who We Are

Tanaq Support Services (TSS) is a public health contractor, certified 8(a) business, owned by St. George Tanaq Corporation, an Alaska Native Corporation. (ANC). We listen to our stakeholders and leverage our science, technology, communication, and program expertise to understand and provide feedback as we develop solutions.

Our Commitment to Non-Discrimination

Tanaq Support Services is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to disability, status as a protected veteran or any other status protected by applicable federal, state, or local law. Tanaq complies with the Drug-free Workplace Act of 1988 and E-Verify.

If you are an individual with a disability and need assistance completing any part of the application process, please email accommodation@tanaq.com to request a reasonable accommodation. This email is for accommodation requests only and cannot be used to inquire about the status of applications.

Notice on Candidate AI Usage

Tanaq is committed to ensuring a fair and competitive interview process for all candidates based on their experience, skills and education. To ensure the integrity of the interview process, the use of artificial intelligence (AI) tools to generate or assist with responses during phone, in person and virtual interviews is not allowed. However, candidates who require a reasonable accommodation that may involve AI are required to contact us prior to their interview at accommodation@tanaq.com.

To view this and all our job postings, visit us at:

https://recruiting.paylocity.com/recruiting/jobs/All/a4712c9f-f074-40e8-9a14-bee06660bd81/Tanaq-Support-Services-LLC

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