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How much do physician case reviewer jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for physician case reviewer in the United States is $47.53, according to ZipRecruiter salary data. Most workers in this role earn between $35.34 and $57.45 per hour, depending on experience, location, and employer.

What are common responsibilities of a Physician Case Reviewer during a typical workweek?

A Physician Case Reviewer is primarily responsible for objectively reviewing patient medical records, evaluating the necessity and appropriateness of treatments, and ensuring adherence to clinical guidelines. You may collaborate regularly with other physicians, care managers, and insurance professionals to clarify clinical questions and make coverage determinations. The role often involves detailed documentation, participation in case discussions, and occasional peer-to-peer consultations. This structure allows you to apply your clinical knowledge in a non-patient-facing, consultative capacity, helping to improve patient outcomes and maintain healthcare quality standards.

What is a Physician Case Reviewer job?

A Physician Case Reviewer is a medical professional who evaluates patient cases to ensure appropriate care and adherence to clinical guidelines. They review medical records, treatment plans, and claims to assess medical necessity, accuracy, and compliance with healthcare regulations. These professionals often work for insurance companies, healthcare organizations, or government agencies. Their expertise helps in making objective and evidence-based decisions about patient care and insurance coverage. The role requires strong analytical skills, clinical experience, and attention to detail.

What are the key skills and qualifications needed to thrive in the Physician Case Reviewer position, and why are they important?

To thrive as a Physician Case Reviewer, you need a valid medical license, in-depth clinical expertise, and thorough knowledge of healthcare regulations and guidelines. Familiarity with medical review software, utilization management systems, and documentation tools is typically required, and certifications such as board eligibility or specialty board certification are often preferred. Strong analytical skills, attention to detail, and effective written and verbal communication help distinguish outstanding reviewers. These competencies ensure high-quality, objective case reviews that support accurate healthcare decision-making and compliance.

More about Physician Case Reviewer jobs
What cities are hiring for Physician Case Reviewer jobs? Cities with the most Physician Case Reviewer job openings:
What are the most commonly searched types of Physician Case Reviewer jobs? The most popular types of Physician Case Reviewer jobs are:
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Physician Case Reviewer jobs near you
Infographic showing various Physician Case Reviewer job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $98,869 per year, or $47.5 per hour.

Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Broadway Ventures

OR • Remote

Other

Re-posted 27 days ago

Job description

Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the Department of Veterans Affairs (VA). This role involves evaluating medical cases to assess quality of care, adherence to standards, and opportunities for improvement.

This is an ideal opportunity for physicians seeking part-time, flexible work that complements their clinical practice.

Position Details:
  • Job Type: Part-time
  • Location: Fully remote (U.S. only)
  • Schedule: Flexible-complete cases at your convenience within 5 calendar days
  • Case Volume: Varies monthly-no fixed predictions by specialty or case type
Key Responsibilities:1. Medical Case Audits & Quality Reviews
  • Conduct objective medical case reviews using standardized assessment criteria
  • Evaluate the timeliness and appropriateness of care provided
  • Identify quality improvement opportunities
2. Performance Improvement & Specialty Case Reviews
  • Review cases initiated for non-standardized performance improvement reasons
  • Assess medical decision-making and compliance with best practices
3. Medical Advisory Opinions
  • Provide expert medical opinions
  • Analyze complex clinical scenarios from an impartial, evidence-based perspective
Qualifications & Requirements:

To be eligible for this role, you must meet the following criteria:

  • Active, unrestricted physician license in any U.S. state or territory
  • Board certification in a specialty recognized by the American Board of Medical Specialties
  • Minimum of 5 years of clinical experience in your specialty
  • Minimum of 2 years of recent clinical practice relevant to case reviews
  • Actively engaged in direct patient care (minimum 20 clinical hours per month)
  • Hospital privileges in your specialty
  • Fluent in English (strong reading and writing skills required)
Open Positions by Specialty:

We are currently hiring physicians who are board certified with the American Board of Medical Specialties in the following specialties:

Cardiology
   Cardiology - Electrophysiology (EP) 
   Cardiology - Invasive 
   Cardiology - Transplant Qualified 
________________________________________
Cardiothoracic & Thoracic Surgery
   Cardio-Thoracic Surgery 
   Thoracic Surgery 
________________________________________
General & Subspecialty Surgery
   Colo-Rectal Surgery 
   Neurosurgery 
   Orthopedics - Spine 
________________________________________
Radiology & Imaging
   Diagnostic Radiology 
   Interventional Radiology 
   Nuclear Medicine 
________________________________________
Gastroenterology & Hepatology
   Gastroenterology (with ERCP capability) 
   Hepatology 
   Hepatology - Transplant Qualified 
________________________________________
Nephrology
   Nephrology 
   Nephrology - Transplant Qualified 

Why Join Us?

Fully remote work-complete cases on your own schedule
Flexible hours- ability to complete reviews within 5 days on your own time
No court appearances-your reviews remain confidential
Make a meaningful impact-help improve healthcare standards for veterans

How to Apply:

If you meet the qualifications and are interested in joining our team, apply today!

Apply