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Physician Peer Review Jobs (NOW HIRING)

Trinity Health

Peer Review Coordinator RN

Fresno, CA · On-site

$45.50 - $68.27/hr

This position is responsible for assisting in physician peer review activities and directly supporting the areas of clinical quality and patient safety. The position will collaborate with the Chief ...

Trinityhealth

Peer Review Coordinator RN

Fresno, CA · On-site

$45.50 - $68.27/hr

This position is responsible for assisting in physician peer review activities and directly supporting the areas of clinical quality and patient safety. The position will collaborate with the Chief ...

Trinity Health

Peer Review Coordinator RN

Fresno, CA · On-site

$45.50 - $68.27/hr

This position is responsible for assisting in physician peer review activities and directly supporting the areas of clinical quality and patient safety. The position will collaborate with the Chief ...

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Physician Peer Review information

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$97.5K

$217.4K

$350K

How much do physician peer review jobs pay per year?

As of Aug 17, 2026, the average yearly pay for physician peer review in the United States is $217,445.00, according to ZipRecruiter salary data. Most workers in this role earn between $190,000.00 and $244,500.00 per year, depending on experience, location, and employer.

What is a physician peer review?

A Physician Peer Review is a process in which physicians evaluate the quality, appropriateness, and necessity of medical care provided by their colleagues. The goal is to ensure that patient care meets established standards and to identify areas for improvement. Peer reviews can address clinical decision-making, patient outcomes, and adherence to guidelines. This process helps maintain high-quality healthcare and supports professional development among physicians.

What is a physician peer review?

A physician peer review is a discipline-specific process that’s done in order to evaluate the performance of physicians and ensure their medical practice competency. A physician who undertakes this peer review process works to assess the performance of their colleagues, or fellow physicians, in a hospital or medical clinic with multiple doctors. The primary purpose of a physician peer review is to improve the quality of care at the facility, to help with risk management, and to reduce the cost of liability and malpractice insurance. Physicians take part in peer review efforts in addition to performing their regular duties and responsibilities at a hospital or clinic.

What are the key skills and qualifications needed to thrive as a physician peer reviewer, and why are they important?

To thrive as a Physician Peer Reviewer, you need a current medical license, board certification in your specialty, and substantial clinical experience. Familiarity with medical record review systems, utilization management software, and relevant clinical guidelines is essential. Strong analytical thinking, clear written communication, and objectivity are key soft skills for delivering fair, evidence-based reviews. These skills are crucial for ensuring accurate evaluations of clinical decisions, promoting quality care, and maintaining professional standards.

What are some common challenges faced by physicians participating in peer review processes?

Physicians involved in peer review often encounter challenges such as balancing objectivity with empathy, managing potential conflicts of interest, and navigating complex or ambiguous clinical cases. Maintaining confidentiality and ensuring unbiased evaluations while working alongside colleagues can also be demanding. Additionally, peer reviewers must stay current with evolving clinical guidelines and standards to provide accurate, constructive feedback that supports both patient safety and professional development.

What is the difference between Physician Peer Review vs Medical Reviewer?

AspectPhysician Peer ReviewMedical Reviewer
CredentialsMedical degree, board certification in specialtyMedical degree, often with specific training in review processes
Work EnvironmentHospitals, insurance companies, medical boardsInsurance companies, healthcare organizations, legal settings
Industry UsageAssessing clinical quality, determining medical necessityEvaluating documentation, compliance, and coverage decisions

Physician Peer Review involves physicians evaluating clinical cases and medical practices to ensure quality and compliance, often within hospitals or medical boards. Medical Reviewers focus on assessing medical documentation and coverage for insurance claims or legal purposes. While both roles require medical credentials, Physician Peer Review emphasizes clinical judgment, whereas Medical Reviewers concentrate on documentation and policy adherence.

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Physician Peer Review jobs near you
Infographic showing various Physician Peer Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $217,445 per year, or $104.5 per hour.

Physician Peer Reviewer- Dermatologist

Federal Hearings And Appeals

Wilkes Barre, PA • Remote

Contractor

Re-posted 15 days ago

Job description

Physician Peer Reviewer –

Federal Hearings and Appeals Services (FHAS) is a URAC-accredited Independent Medical Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For the past 30 years, FHAS has provided external peer review services to healthcare organizations, government agencies, insurance companies, and legal entities.

FHAS is currently expanding its elite panel of physicians licensed to assist with independent review claims and appeals in any of the following specialties:

Addiction Medicine, Allergy & Immunology, Anesthesiology, Cardiovascular Disease, Child & Adolescent Psychiatry, Chiropractic Medicine, Dentist, Dermatology, Emergency Medicine, Endocrinology, Diabetes, & Metabolism, Family Medicine, Gastroenterology, Internal Medicine, Interventional Cardiology, Interventional Radiology & Diagnostic Radiology, Medical Genetics & Genomics, Medical Oncology, Nephrology, Neurological Surgery, Neurology, Obstetrics and Gynecology, Ophthalmology, Orthopedic Surgery, Pain Medicine, Pathology, Pediatrics, Pediatric Cardiology, Pediatric Critical Care Medicine, Developmental-Behavioral Pediatrics, Pediatric Emergency Medicine, Pediatric Gastroenterology, Pediatric Nephrology, Physical Medicine & Rehabilitation, Plastic Surgery, Psychiatry, Psychology *PhD, Radiation Oncology, Radiology, Rheumatology, Sleep Medicine, Thoracic & Cardiac Surgery, Transplant Hepatology, Undersea & Hyperbaric Medicine

Description

  • Responsible for reviewing medical case files and making medical determinations. Cases may include medical necessity and medical appropriateness, experimental or investigational treatment, administrative or legal issues, or a combination of these categories, which are filed with the Department of Human Services’ Bureau of Hearings and Appeals (BHA).
  • Reviews and analyzes Federal and State laws, regulations, and applicable policy guides
  • Completes and evaluates the review process in a regulatory timeframe.

Work Experience Requirements

  • Successful completion of a Residency or Fellowship Program
  • Must possess a current state license in a state of the United States/recognized in the relevant jurisdictions as a Doctor of Medicine or Doctor of Osteopathic Medicine and if required by contract, licensed in the state in which requests the review.
  • License is unrestricted and if there is a restriction that is allowed by a relevant jurisdiction, according to the medical director or clinical director, it is of the type that does not affect the health professional’s ability to fulfill the roles and responsibilities of a reviewer.
  • License is of the type and scope that permits applying clinical judgement in consideration of an individual members clinical needs to render a decision.
  • For either a Doctor of Medicine or Doctor of Osteopathic Medicine, possess the same license or certification as the ordering practitioner.
  • Must hold a current board certification issued by the American Board of Medical Specialties or American Osteopathic Association.
  • 5-years or more post graduate active clinical experience in direct patient care
  • Experience providing direct patient care within the past 3 years, if performing external reviews

Job Type

Contract

Work Location

Remote