Medical Review Specialist TYPE: Full time - (40 hours per week) Non-Exempt Remote- EST time zone POSITION SUMMARY: The incumbent reviews medical bills utilizing professional knowledge and clinical ...
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Medical Review Specialist TYPE: Full time - (40 hours per week) Non-Exempt Remote- EST time zone POSITION SUMMARY: The incumbent reviews medical bills utilizing professional knowledge and clinical ...
Quick apply
Medical Review Specialist TYPE: Full time - (40 hours per week) Non-Exempt Remote- EST time zone POSITION SUMMARY: The incumbent reviews medical bills utilizing professional knowledge and clinical ...
Medical Review Specialist TYPE: Full time - (40 hours per week) Non-Exempt Remote- EST time zone POSITION SUMMARY: The incumbent reviews medical bills utilizing professional knowledge and clinical ...
Quick apply
Medical Review Specialist TYPE: Full time - (40 hours per week) Non-Exempt Remote- EST time zone POSITION SUMMARY: The incumbent reviews medical bills utilizing professional knowledge and clinical ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more About the Job: We are currently recruiting RNs, LPNs, MA's, Certified Coders ...
Medical Records - Field Reviewer Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data ...
Medical Records - Field Reviewer Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data ...
Review, research and authorize requests for authorization of elective, direct, ancillary, urgent ... Contact appropriate medical and support personnel to identify and recommend alternative treatment ...
Review, research and authorize requests for authorization of elective, direct, ancillary, urgent ... Contact appropriate medical and support personnel to identify and recommend alternative treatment ...
Review, research and authorize requests for authorization of elective, direct, ancillary, urgent ... Contact appropriate medical and support personnel to identify and recommend alternative treatment ...
Review, research and authorize requests for authorization of elective, direct, ancillary, urgent ... Contact appropriate medical and support personnel to identify and recommend alternative treatment ...
Review, research and authorize requests for authorization of elective, direct, ancillary, urgent ... Contact appropriate medical and support personnel to identify and recommend alternative treatment ...
Review, research and authorize requests for authorization of elective, direct, ancillary, urgent ... Contact appropriate medical and support personnel to identify and recommend alternative treatment ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Review Mortgage Purchase Program loan submissions for accuracy, completeness, and eligibility ... Medical * Dental * Vision * Life, LTD, & AD&D * Dependent Care Spending Plan (DCSA) * Employer ...
Review Mortgage Purchase Program loan submissions for accuracy, completeness, and eligibility ... Medical * Dental * Vision * Life, LTD, & AD&D * Dependent Care Spending Plan (DCSA) * Employer ...
Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, to meet ...
Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, to meet ...
Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, to meet ...
Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, to meet ...
Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, to meet ...
Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, to meet ...
This is a second-level review role -- not an initial underwriting position. There's no new credit ... Medical * Dental * Vision * Life, LTD, & AD&D * Dependent Care Spending Plan (DCSA) * Employer ...
This is a second-level review role -- not an initial underwriting position. There's no new credit ... Medical * Dental * Vision * Life, LTD, & AD&D * Dependent Care Spending Plan (DCSA) * Employer ...
Grand Rapids, MI · On-site
$24.50/hr
This is a second-level review role - not an initial underwriting position. There's no new credit ... Medical * Dental * Vision * Life, LTD, & AD&D * Dependent Care Spending Plan (DCSA) * Employer ...
Grand Rapids, MI · On-site
$24.50/hr
This is a second-level review role - not an initial underwriting position. There's no new credit ... Medical * Dental * Vision * Life, LTD, & AD&D * Dependent Care Spending Plan (DCSA) * Employer ...
You will be given great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Health ... Your role as a Commercial Appraisal Reviewer Mercantile Bank is seeking a detail-oriented ...
You will be given great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Health ... Your role as a Commercial Appraisal Reviewer Mercantile Bank is seeking a detail-oriented ...
Troy, MI · Remote
$150/hr
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra's Utilization Management (UM ...
Troy, MI · Remote
$150/hr
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra's Utilization Management (UM ...
You will be given great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Health ... As a Commercial Appraisal Reviewer, you will collaborate closely with commercial lending staff to ...
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You will be given great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Health ... As a Commercial Appraisal Reviewer, you will collaborate closely with commercial lending staff to ...
$10.27 - $17.29
14% of jobs
$21.16 is the 25th percentile. Wages below this are outliers.
$17.29 - $24.32
21% of jobs
The median wage is $27.96 / hr.
$24.32 - $31.35
30% of jobs
$31.35 - $38.38
9% of jobs
$40.72 is the 75th percentile. Wages above this are outliers.
$38.38 - $45.41
3% of jobs
$45.41 - $52.44
13% of jobs
$52.44 - $59.46
1% of jobs
$59.46 - $66.49
4% of jobs
$66.49 - $73.52
0% of jobs
$73.52 - $80.55
0% of jobs
$80.55 - $87.58
5% of jobs
$10
$36
$87
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.
| 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.
The most popular types of Medical Reviewer jobs in Michigan are:
For Medical Reviewer jobs in Michigan, the most frequently searched job titles are:
The top searched job categories for Medical Reviewer jobs in Michigan are:
Cities in Michigan with the most Medical Reviewer job openings:
For Medical Reviewer jobs in MI, the most frequently searched job titles are:

Full-time
Re-posted 2 days ago
Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.
ReviewWorks, a Medlogix company founded in 1989 located in Northville, Michigan. Provides comprehensive Medical Review Services, Medical Case Management Services and Vocational Rehabilitation Services to customers that include self-insured entities, third party administrators and insurance carriers.
TITLE:
Medical Review Specialist
TYPE:
Full time – (40 hours per week)
Non-Exempt
Remote- EST time zone
POSITION SUMMARY:
The incumbent reviews medical bills utilizing professional knowledge and clinical experience to determine relationship of services billed to the covered injury; applies appropriate review guidelines, assesses appropriate use of medical coding; identifies over-utilization of treatment and makes appropriate reimbursement recommendations for Michigan Workers' Compensation claims. The incumbent is also responsible for the quality timeliness and customer service for assigned accounts.
ESSENTIAL FUNCTIONS:
Professional Background:
Certified Professional Coder – required
1+ years medical coding experience – CPT, ICD-10 - preferred
1+ years’ experience in Medical Bill Repricing – preferred
Michigan Workers' Compensation experience- preferred
SKILLS AND ABILITIES:
Ability to apply clinical knowledge and/or coding expertise in bill review
Ability to read, write, speak, and understand English well
Ability to understand and follow written and oral instructions
Possess strong verbal and interpersonal skills
Ability to multi-task
Possess problems solving skills
Ability to sit for long periods at a computer terminal keyboarding
PC skills – required
Knowledge of Microsoft Office Products – required
Ability to operate standard office equipment including telephone
PERSONAL CHARACTERISTICS:
Initiative, drive, creativity and persistence
Good organizational skills
Highest professional ethics
Ability to work independently
EEOC STATEMENT:
Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.
Sourced by ZipRecruiter
Insurance services
201 - 500 Employees
Trenton, NJ, US
1980