The medical review physician should review the documentation submitted and identify the following content that support's the patient's appropriateness, including any higher level of care billed, if ...
The medical review physician should review the documentation submitted and identify the following content that support's the patient's appropriateness, including any higher level of care billed, if ...
Medical Review Specialist
Pensacola, FL · On-site
Medical Record Review Specialist Job Title: Review Specialist I Department: Review FLSA Status: Non-Exempt Schedule: Monday-Friday,8:00am-5:00pm Location: On-Site ESSENTIAL FUNCTIONS Medical Record ...
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Medical Review Specialist
Pensacola, FL · On-site
Medical Record Review Specialist Job Title: Review Specialist I Department: Review FLSA Status: Non-Exempt Schedule: Monday-Friday,8:00am-5:00pm Location: On-Site ESSENTIAL FUNCTIONS Medical Record ...
Nurse Reviewer - Orlando, FL
Orlando, FL · Remote
$40/hr
Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies * Manage end-to-end case screening processes ...
Nurse Reviewer - Orlando, FL
Orlando, FL · Remote
$40/hr
Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies * Manage end-to-end case screening processes ...
Nurse Reviewer - Tampa, FL
Tampa, FL · Remote
$40/hr
Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies * Manage end-to-end case screening processes ...
Nurse Reviewer - Tampa, FL
Tampa, FL · Remote
$40/hr
Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies * Manage end-to-end case screening processes ...
Nurse Reviewer - Sarasota, FL
Sarasota, FL · Remote
$40/hr
Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies * Manage end-to-end case screening processes ...
Nurse Reviewer - Sarasota, FL
Sarasota, FL · Remote
$40/hr
Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies * Manage end-to-end case screening processes ...
Senior Clinical Reviewer
Orlando, FL · On-site +1
$43.51/hr
Organize and review medical records, lab results, radiology, and pathology reports for conditions ineligible for sharing (CIF's) * Determine eligibility of members' medical bills and/or upcoming ...
Senior Clinical Reviewer
Orlando, FL · On-site +1
$43.51/hr
Organize and review medical records, lab results, radiology, and pathology reports for conditions ineligible for sharing (CIF's) * Determine eligibility of members' medical bills and/or upcoming ...
Senior Clinical Reviewer
Melbourne, FL · On-site
$43.51/hr
Organize and review medical records, lab results, radiology, and pathology reports for conditions ineligible for sharing (CIF's) * Determine eligibility of members' medical bills and/or upcoming ...
Senior Clinical Reviewer
Melbourne, FL · On-site
$43.51/hr
Organize and review medical records, lab results, radiology, and pathology reports for conditions ineligible for sharing (CIF's) * Determine eligibility of members' medical bills and/or upcoming ...
Senior Clinical Reviewer
Orlando, FL · On-site
$43.51/hr
Organize and review medical records, lab results, radiology, and pathology reports for conditions ineligible for sharing (CIF's) * Determine eligibility of members' medical bills and/or upcoming ...
Senior Clinical Reviewer
Orlando, FL · On-site
$43.51/hr
Organize and review medical records, lab results, radiology, and pathology reports for conditions ineligible for sharing (CIF's) * Determine eligibility of members' medical bills and/or upcoming ...
Medical Review Assistant
Middleburg, FL · 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 ...
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Medical Review Assistant
Middleburg, FL · 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 ...
Requires an Indiana State Medical License ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in ...
Requires an Indiana State Medical License ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in ...
Hospice Physician Audit Reviewer (Remote)
Miramar, FL · On-site +1
The medical review physician should review the documentation submitted and identify the following content that support's the patient's appropriateness, including any higher level of care billed, if ...
Hospice Physician Audit Reviewer (Remote)
Miramar, FL · On-site +1
The medical review physician should review the documentation submitted and identify the following content that support's the patient's appropriateness, including any higher level of care billed, if ...
Medical Review Nurse (USACE)
Cape Canaveral, FL · On-site
$66K - $70K/yr
Medical Review Nurse Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can ...
Medical Review Nurse (USACE)
Cape Canaveral, FL · On-site
$66K - $70K/yr
Medical Review Nurse Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can ...
Physician Reviewer
Miami, FL · On-site
The Physician Reviewer will evaluate clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. The Physician Reviewer ...
Physician Reviewer
Miami, FL · On-site
The Physician Reviewer will evaluate clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. The Physician Reviewer ...
Physician Reviewer
Miami, FL · On-site
The Physician Reviewer will evaluate clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. The Physician Reviewer ...
Physician Reviewer
Miami, FL · On-site
The Physician Reviewer will evaluate clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. The Physician Reviewer ...
Title Reviewer
Delray Beach, FL · On-site
Reviewing the chain of title * Identifying potential title issues * Reviewing and auditing loan ... Medical, Dental and Vision Plans with Prescription coverage * 401K Retirement Savings Plan
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Title Reviewer
Delray Beach, FL · On-site
Reviewing the chain of title * Identifying potential title issues * Reviewing and auditing loan ... Medical, Dental and Vision Plans with Prescription coverage * 401K Retirement Savings Plan
Medical Review Nurse (USACE)
$66K - $70K/yr
Performs medical review of incoming charts to determine if additional medical information is needed. Collaborates with Physician(s) and other internal nursing staff members for chart review. Performs ...
Medical Review Nurse (USACE)
$66K - $70K/yr
Performs medical review of incoming charts to determine if additional medical information is needed. Collaborates with Physician(s) and other internal nursing staff members for chart review. Performs ...
Medical Review Nurse (USACE)
Cape Canaveral, FL · On-site
$66K - $70K/yr
Performs medical review of incoming charts to determine if additional medical information is needed. * Collaborates with Physician(s) and other internal nursing staff members for chart review.
Medical Review Nurse (USACE)
Cape Canaveral, FL · On-site
$66K - $70K/yr
Performs medical review of incoming charts to determine if additional medical information is needed. * Collaborates with Physician(s) and other internal nursing staff members for chart review.
Medical Review Nurse (USACE)
Cape Canaveral, FL · On-site
$66K - $70K/yr
Duties and Responsibilities: • Performs medical review of incoming charts to determine if additional medical information is needed. • Collaborates with Physician(s) and other internal nursing ...
Medical Review Nurse (USACE)
Cape Canaveral, FL · On-site
$66K - $70K/yr
Duties and Responsibilities: • Performs medical review of incoming charts to determine if additional medical information is needed. • Collaborates with Physician(s) and other internal nursing ...
Medical Review Nurse (USACE)
Cape Canaveral, FL · On-site
$66K - $70K/yr
Duties and Responsibilities: • Performs medical review of incoming charts to determine if additional medical information is needed. • Collaborates with Physician(s) and other internal nursing ...
Medical Review Nurse (USACE)
Cape Canaveral, FL · On-site
$66K - $70K/yr
Duties and Responsibilities: • Performs medical review of incoming charts to determine if additional medical information is needed. • Collaborates with Physician(s) and other internal nursing ...
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 ...
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 Reviewer information
See Florida salary details
$8.80 - $14.83
14% of jobs
$18.14 is the 25th percentile. Wages below this are outliers.
$14.83 - $20.85
21% of jobs
The median wage is $23.97 / hr.
$20.85 - $26.88
30% of jobs
$26.88 - $32.91
9% of jobs
$34.92 is the 75th percentile. Wages above this are outliers.
$32.91 - $38.93
3% of jobs
$38.93 - $44.96
13% of jobs
$44.96 - $50.98
1% of jobs
$50.98 - $57.01
4% of jobs
$57.01 - $63.04
0% of jobs
$63.04 - $69.06
0% of jobs
$69.06 - $75.09
5% of jobs
$8
$31
$75
How much do medical reviewer jobs pay per hour?
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?
How does a medical reviewer typically collaborate with other departments during the drug approval process?
What is the difference between Medical Reviewer vs Medical Writer?
| Aspect | Medical Reviewer | Medical Writer |
|---|---|---|
| Required Credentials | Medical degree (MD, DO, PharmD), licensure often preferred | Background in life sciences, writing skills, often with a degree in related fields |
| Work Environment | Pharmaceutical companies, CROs, regulatory agencies, hospitals | Pharmaceutical companies, marketing agencies, publishing firms |
| Employer & Industry Usage | Review clinical data, regulatory documents, ensuring accuracy | Create 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.
What are the most commonly searched types of Medical Reviewer jobs in Florida?
The most popular types of Medical Reviewer jobs in Florida are:
What are popular job titles related to Medical Reviewer jobs in Florida?
For Medical Reviewer jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Medical Reviewer jobs in Florida look for?
The top searched job categories for Medical Reviewer jobs in Florida are:
What cities in Florida are hiring for Medical Reviewer jobs?
Cities in Florida with the most Medical Reviewer job openings:
What are popular job titles related to Medical Reviewer jobs in FL?
For Medical Reviewer jobs in FL, the most frequently searched job titles are:

VITAS Healthcare rating
7.0
Based on 114 frontline employees who took The Breakroom Quiz
40th of 243 rated social care providers
Job description
Hospice Physician Audit Reviewer will have experience supporting external government record requests by preparing chart summaries and expert testimony at administrative hearings as needed. In addition, although this position's responsibilities will usually be conducted from their home office, this role is also involved in travel to provider locations to provide in-person trainings and partner with program support initiatives as needed. Work remote.
Experience:
- The medical review physician should review the documentation submitted and identify the following content that support's the patient's appropriateness, including any higher level of care billed, if applicable: clinical history and physical findings, documentation of functional status and symptoms, and pertinent changes in plans of care.
- The medical review physician should review certification / recertification worksheets and narratives, plans of care review, and interdisciplinary team notes to ensure that they collectively reflect and support the patient's hospice benefit appropriateness. Where there are inconsistencies or omissions, the physician should provide explanation or suggest correction.
- The medical review physician should prepare a summary (demographics, time of admission, course of care under review, disposition, statement of eligibility) outlining the patient's hospice benefit appropriateness and focus on bringing the claim reviewer's attention to the specific documentation that supports the patient's hospice eligibility, as well as any additional supportive documentation that may be added at the time of the appeal. Where appropriate, the medical review physician should reference evidence based guidelines or journal articles.
- If a detailed claim denial explanation was provided in the claim review summary, the medical review physician should: 1. Verify whether the claim denial code is legitimate for the level of care on date(s) in contention, 2. Identify if there are discrepancies between the claim review explanation and supporting documentation, 3. Address each claim denial reason with the necessary explanation and supportive documentation, 4. Identify whether there are additional chart documents not included in the first submission that establish hospice appropriateness.
- The chart review note submitted by medical review physician in preparation for submission of appeal, should summarize findings recorded elsewhere in the record and not conflict with daily progress notes. New information should be supported by additional documentation that has been accessed from the chart.
- Performs related duties as required. This position description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.
Education:
- Board eligible / certified in Hospice and Palliative Medicine, Family Medicine, Internal Medicine, or other related specialty with a working knowledge of the principles of palliative medicine and symptom management.
- Completion of designated application and verification of credentials and qualifications.
Certification & Licensure:
- Licensed to practice medicine or osteopathy in the state in which the program is operating.
Physical Requirements:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
SPECIAL INSTRUCTIONS TO CANDIDATES
- EOE/AA M/F/D/V
What VITAS Healthcare employees say
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About VITAS Healthcare
Sourced by ZipRecruiter
VITAS Healthcare, located in Miami, FL, US, is a pioneer in the American healthcare industry, specifically within the realm of hospice care and palliative services. The company began its operations in 1978 under the visionaries Hugh Westbrook and Esther Colliflower,both social workers, who identified the need for compassionate end-of-life care. Recognizing the dire need to fill the void in hospice care, they established VITAS Healthcare with the mission to provide patients experiencing end-of-life stages with high-quality care, demonstrating respect for every individual's decisions and maintaining a supportive environment for both the patients and their loved ones. A noteworthy achievement of VITAS is that it was the first organization to have its hospice program licensed in Florida prompting a nationwide shift in the way end-of-life care services were handled.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Miami, FL, US
Year founded
1978