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 ...
Global Therapeutic Area Medical Review Lead
Indianapolis, IN · On-site
$225K - $330K/yr
Eli Lilly and Company is seeking a medical review leader to supervise Case Management Medical Review personnel. This role includes overseeing the safety evaluations for compounds, mentoring reviewers ...
Global Therapeutic Area Medical Review Lead
Indianapolis, IN · On-site
$225K - $330K/yr
Eli Lilly and Company is seeking a medical review leader to supervise Case Management Medical Review personnel. This role includes overseeing the safety evaluations for compounds, mentoring reviewers ...
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is ...
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is ...
Medical Record Reviewer
Fort Wayne, IN · On-site
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is ...
Medical Record Reviewer
Fort Wayne, IN · On-site
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is ...
Medical Record Reviewer
Fort Wayne, IN · On-site
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is ...
Medical Record Reviewer
Fort Wayne, IN · On-site
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is ...
Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is ...
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Medical Record Reviewer Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is ...
Leadership in Medical Review * Supervise Case Management Medical Review personnel within the therapeutic area across the global team, including physicians and scientists. * Build deep regulatory and ...
Leadership in Medical Review * Supervise Case Management Medical Review personnel within the therapeutic area across the global team, including physicians and scientists. * Build deep regulatory and ...
Leadership in Medical Review * Supervise Case Management Medical Review personnel within the therapeutic area across the global team, including physicians and scientists. * Build deep regulatory and ...
Leadership in Medical Review * Supervise Case Management Medical Review personnel within the therapeutic area across the global team, including physicians and scientists. * Build deep regulatory and ...
Leadership in Medical Review * Supervise Case Management Medical Review personnel within the therapeutic area across the global team, including physicians and scientists. * Build deep regulatory and ...
Leadership in Medical Review * Supervise Case Management Medical Review personnel within the therapeutic area across the global team, including physicians and scientists. * Build deep regulatory and ...
Leadership in Medical Review * Supervise Case Management Medical Review personnel within the therapeutic area across the global team, including physicians and scientists. * Build deep regulatory and ...
Leadership in Medical Review * Supervise Case Management Medical Review personnel within the therapeutic area across the global team, including physicians and scientists. * Build deep regulatory and ...
Review the medical records/case file, write a reconsideration/dispute resolution decision that is clear, concise, and impartial, supports the determination made, and documents the review. * Make fair ...
Review the medical records/case file, write a reconsideration/dispute resolution decision that is clear, concise, and impartial, supports the determination made, and documents the review. * Make fair ...
Medical Director, Oncology Clinical Development
Warsaw, IN · On-site
$222K - $371K/yr
Review/monitor safety data in collaboration with pharmacovigilance group for active clinical ... Medical degree with board certification/eligibility or registration qualifications in medical ...
Medical Director, Oncology Clinical Development
Warsaw, IN · On-site
$222K - $371K/yr
Review/monitor safety data in collaboration with pharmacovigilance group for active clinical ... Medical degree with board certification/eligibility or registration qualifications in medical ...
Review/monitor safety data in collaboration with pharmacovigilance group for active clinical ... Medical degree with board certification/eligibility or registration qualifications in medical ...
Review/monitor safety data in collaboration with pharmacovigilance group for active clinical ... Medical degree with board certification/eligibility or registration qualifications in medical ...
Physician / Gastroenterology / Indiana / Permanent / Associate Medical Director - Gastro - 100% Remo
Indianapolis, IN · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with ...
Physician / Gastroenterology / Indiana / Permanent / Associate Medical Director - Gastro - 100% Remo
Indianapolis, IN · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with ...
Physician / Surgery - Orthopedics / Indiana / Permanent / Associate Medical Director - Orthopedic Su
Indianapolis, IN · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with ...
Physician / Surgery - Orthopedics / Indiana / Permanent / Associate Medical Director - Orthopedic Su
Indianapolis, IN · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with ...
Physician / Oncology / Indiana / Permanent / Associate Medical Director - Oncology - 100% Remote Job
Indianapolis, IN · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with ...
Physician / Oncology / Indiana / Permanent / Associate Medical Director - Oncology - 100% Remote Job
Indianapolis, IN · Remote
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with ...
Medical Assistant
$17 - $21.75/hr
Visit residential locations as assigned to complete medical reviews and support care coordination * Monitor and maintain durable medical equipment and clinic logs * Complete documentation timely and ...
Medical Assistant
$17 - $21.75/hr
Visit residential locations as assigned to complete medical reviews and support care coordination * Monitor and maintain durable medical equipment and clinic logs * Complete documentation timely and ...
Medical Assistant
Indianapolis, IN · On-site
$17 - $21.75/hr
Visit residential locations as assigned to complete medical reviews and support care coordination * Monitor and maintain durable medical equipment and clinic logs * Complete documentation timely and ...
Medical Assistant
Indianapolis, IN · On-site
$17 - $21.75/hr
Visit residential locations as assigned to complete medical reviews and support care coordination * Monitor and maintain durable medical equipment and clinic logs * Complete documentation timely and ...
$309K - $413K/yr
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 ...
$309K - $413K/yr
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 ...
$309K - $413K/yr
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 ...
$309K - $413K/yr
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 ...
Medical Reviewer information
See Indiana salary details
$11.21 - $18.88
14% of jobs
$23.10 is the 25th percentile. Wages below this are outliers.
$18.88 - $26.55
21% of jobs
The median wage is $30.52 / hr.
$26.55 - $34.23
30% of jobs
$34.23 - $41.90
9% of jobs
$44.46 is the 75th percentile. Wages above this are outliers.
$41.90 - $49.57
3% of jobs
$49.57 - $57.25
13% of jobs
$57.25 - $64.92
1% of jobs
$64.92 - $72.59
4% of jobs
$72.59 - $80.27
0% of jobs
$80.27 - $87.94
0% of jobs
$87.94 - $95.61
5% of jobs
$11
$40
$95
How much do medical reviewer jobs pay per hour?
How does a Medical Reviewer typically collaborate with other departments during the drug approval process?
What is the role of a medical reviewer?
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 skills do you need to be a medical reviewer?
What is the 3 month rule for jobs?
How to become a medical reviewer?
What is a medical reviewer?
What are the key skills and qualifications needed to thrive as a Medical Reviewer, and why are they important?
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.

Medicare Appeals Reviewer I (Dispute Resolution Reviewer I)
Indianapolis, IN • On-site
Other
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.
Responsibilities
-
Reviews medical records/case file, writes a decision that is clear, concise, and impartial and supports the determination made, and documents review
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Makes sound, independent decisions based on medical evidence in accordance with statutes, regulation, rulings, and policy
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Responds to and ensures that all issues raised by the beneficiary, representative, supplier, and provider have been addressed
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Provides a fair and impartial decision based on current evidence, regulations, policies, and procedures
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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
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Stays abreast of changes in regulations, medical and healthcare practices, policies and procedures
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Participates in special projects and performs other duties as assigned
Requirements
Required Experience and Skills
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One (1) year of Medicare appeals, medical review, clinical, healthcare regulatory interpretation/application, healthcare compliance or related experience in a healthcare setting
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Knowledge and experience following HIPAA regulations and personally identifiable information (PII).
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Experience using Microsoft 365, including Excel and Word.
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Must be able to pass Federal and state criminal background checks, as required by client.
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Must be able to pass a drug screen, as required by the client.
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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
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Experience working within the federal public health agency environment.
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Experience in appeals and billing.
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Previous CMS guidelines or manual knowledge, particularly with the No Surprises Act.
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Medical Coding certified.
Education and Training
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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.
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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
About St. George Tanaq
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
1 - 10 Employees
Headquarters location
Anchorage, AK, US
Year founded
1973