ZipRecruiter

Log In

1

Physical Therapy Medical Reviewer Jobs (NOW HIRING)

First Choice Physical Therapy

Be Seen First

Outpatient Physical Therapy Medical Biller

Lynn Haven, FL · On-site

$18 - $25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prepare, review, and submit clean electronic and paper claims for outpatient physical therapy ... Minimum of 2+ years of medical billing experience (Outpatient Physical Therapy or Rehab billing ...

First Choice Physical Therapy

Be Seen First

Outpatient Physical Therapy Medical Biller

Lynn Haven, FL · On-site

$18 - $25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prepare, review, and submit clean electronic and paper claims for outpatient physical therapy ... Minimum of 2+ years of medical billing experience (Outpatient Physical Therapy or Rehab billing ...

Sportscare Physical Therapy

Be Seen First

Physical Therapy Aide

Suwanee, GA · On-site

$12.50/hr

Our previous aides have been accepted to prestigious physical therapy, medical schools and nursing programs. Company Description SportsCare Physical Therapy is a privately owned practice with ...

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... We are currently seeking Board-Certified Physical Medicine & Rehabilitation Physicians to join our ...

Empower AI

Medical Reviewer III (Medicare/DRG)

Medical Review Specialist III (Medicare DRG) Empower AI gives federal agency leaders the tools to ... Physical Requirements: * Sitting for long periods * Standing for long periods All hiring and ...

Empower AI

Medical Reviewer III (Medicare/DME)

Medical Review Specialist III As a casual Medical Review Specialist III (Medical Reviewer III) for ... Physical Requirements: * Sitting for long periods * Standing for long periods About Empower AI: All ...

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 ... Physical Requirements: This position requires the ability to perform the below essential functions:

Empower AI Inc.

$28.38/hr

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform ... Physical Requirements: This position requires the ability to perform the below essential functions:

Peraton

Nurse Reviewer - Medicaid

Reston, VA · On-site

$66K - $106K/yr

Nurse Reviewer - Medicaid Job Locations US Requisition ID 2026-169510 Position Category Business ... medical necessity. * Current/Active Nursing or Physical Therapy license in state of residence.

Peraton

Nurse Reviewer - Medicaid

Herndon, VA · On-site

$66K - $106K/yr

Nurse Reviewer - Medicaid Job Locations US Requisition ID 2026-169510 Position Category Business ... medical necessity. * Current/Active Nursing or Physical Therapy license in state of residence.

Peraton

Nurse Reviewer - Medicaid

$66K - $106K/yr

The Medical Reviewer requires the individual to conduct medical record reviews and to apply sound ... medical necessity. * Current/Active Nursing or Physical Therapy license in state of residence.

Peraton

Nurse Reviewer - Medicaid

$66K - $106K/yr

The Medical Reviewer requires the individual to conduct medical record reviews and to apply sound ... medical necessity. * Current/Active Nursing or Physical Therapy license in state of residence.

next page

Showing results 1-20

All JobsPhysical Therapy Medical Reviewer Jobs

Physical Therapy Medical Reviewer information

See salary details

$19

$29

$39

How much do physical therapy medical reviewer jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for physical therapy medical reviewer in the United States is $29.10, according to ZipRecruiter salary data. Most workers in this role earn between $24.04 and $32.21 per hour, depending on experience, location, and employer.

What is the difference between Physical Therapy Medical Reviewer vs Physical Therapist?

AspectPhysical Therapy Medical ReviewerPhysical Therapist
CredentialsLicensure, often with medical review or healthcare certificationsState licensure, Doctor of Physical Therapy (DPT) degree
Work EnvironmentInsurance companies, healthcare review organizations, telehealthClinics, hospitals, outpatient centers, private practices
Employer & Industry UsageInsurance companies, healthcare review firmsHealthcare facilities, private practices, hospitals
Primary FocusReviewing medical records, determining coverage, ensuring complianceProviding patient care, developing treatment plans, therapy delivery

The main difference is that a Physical Therapy Medical Reviewer evaluates medical records and coverage for insurance purposes, often working remotely, while a Physical Therapist provides direct patient care in clinical settings. Both roles require licensure, but their daily responsibilities and work environments differ significantly.

What does a physical therapy medical reviewer do?

A Physical Therapy Medical Reviewer is a licensed physical therapist who evaluates medical records, treatment plans, and insurance claims to ensure that physical therapy services are medically necessary, appropriate, and compliant with current guidelines. They review documentation provided by treating therapists to determine if the care meets established criteria and may recommend approval, denial, or modification of services. Their work supports insurance companies, healthcare organizations, and legal teams by providing expert opinions rooted in clinical knowledge.

What are some common challenges physical therapy medical reviewers face when evaluating clinical documentation?

Physical Therapy Medical Reviewers often encounter challenges such as incomplete or inconsistent clinical notes, varying documentation standards across providers, and the need to interpret complex medical histories. Additionally, reviewers must balance efficiency with thoroughness to ensure medical necessity and compliance with payer guidelines. Effective communication with physical therapists and insurance representatives is also essential to resolve discrepancies and clarify treatment rationales.

What are the key skills and qualifications needed to thrive as a physical therapy medical reviewer?

To thrive as a Physical Therapy Medical Reviewer, you need a deep understanding of physical therapy practices, clinical guidelines, and strong analytical skills, usually supported by licensure as a physical therapist and relevant clinical experience. Familiarity with medical review software, electronic health records (EHRs), and knowledge of insurance or utilization review processes is typically required. Exceptional written communication, attention to detail, and critical thinking help set candidates apart in reviewing and documenting complex cases. These skills ensure accurate, fair, and efficient evaluations that support patient care and compliance with regulatory standards.
More about Physical Therapy Medical Reviewer jobs

What cities are hiring for Physical Therapy Medical Reviewer jobs?

Cities with the most Physical Therapy Medical Reviewer job openings:

What states have the most Physical Therapy Medical Reviewer jobs?

States with the most job openings for Physical Therapy Medical Reviewer jobs include:

Physical Therapy Medical Reviewer jobs near you

Outpatient Physical Therapy Medical Biller

First Choice Physical Therapy

Lynn Haven, FL • On-site

$18 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Be Seen First

After you apply to this job, you can share why you’re interested to jump to the top of the candidate list.

Job description

Position Overview:

We are seeking an experienced, detail-driven, and proactive Medical Biller / Revenue Cycle Specialist to join our team at our central facility in Panama City. You will be responsible for managing full-cycle outpatient physical therapy billing, payment posting, claims follow-up, and account resolution. If you take pride in clean claims, low A/R days, and zero-drama execution, we want to hear from you.

Key Responsibilities:

  • Full-Cycle Billing: Prepare, review, and submit clean electronic and paper claims for outpatient physical therapy services (CPT codes, modifiers, ICD-10).
  • Payment Posting & Reconciliation: Accurately post insurance payments, ERA/EFT transactions, patient co-pays, and deductibles into our EMR/billing software.
  • Denials & Claims Management: Proactively investigate, correct, and re-submit claim denials, rejections, and appeals in a timely manner.
  • A/R Management: Work aging accounts receivable reports (30/60/90+ days) to ensure maximum cash flow and minimal contractual write-offs.
  • Payor Compliance: Maintain current working knowledge of Medicare guidelines, Commercial payors, Auto/Personal Injury, and Workers' Compensation requirements.
  • Patient Accounts: Answer patient inquiries regarding statements, payment plans, and insurance benefits with professionalism and clarity.

Qualifications & Requirements:

  • Experience: Minimum of 2+ years of medical billing experience (Outpatient Physical Therapy or Rehab billing experience strongly preferred).
  • Billing Expertise: Thorough understanding of medical terminology, PT CPT coding, Medicare billing regulations, and secondary claims.
  • Software Competency: High proficiency in electronic health records (EMR) and revenue cycle management (RCM) platforms.
  • Attributes: Exceptional organizational skills, high attention to detail, strong analytical capability, and a self-motivated, proactive mindset

Company Description

First Choice Physical Therapy is the definitive leader in independent outpatient rehabilitation across Bay County, Florida. Operating three state-of-the-art regional facilities, our practice is recognized for providing a premium patient experience and utilizing advanced, high-margin healing modalities like Class IV lasers and comprehensive dry needling. Built on over two decades of clinical and operational excellence, First Choice prioritizes a superior payer mix, tight financial governance, and immaculate workflows. We are expanding our regional footprint and scaling our practice under a highly optimized clinical management framework. Discover our locations, team, and corporate stability at www.readytogetbetter.com.