Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit ...
Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit ...
Physician Reviewer
Miami, FL · On-site
Physician Reviewer We are seeking a Physician Reviewer to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida ...
Physician Reviewer
Miami, FL · On-site
Physician Reviewer We are seeking a Physician Reviewer to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida ...
Physician Reviewer
Miami, FL · On-site
We are seeking a Physician Reviewer to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is ...
Physician Reviewer
Miami, FL · On-site
We are seeking a Physician Reviewer to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is ...
Physician Reviewer
Chicago, IL · On-site
$115/hr
Physician Reviewer Chicago, Illinois Job Type: Right To Hire Pay Rate: $115 Description Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in ...
Physician Reviewer
Chicago, IL · On-site
$115/hr
Physician Reviewer Chicago, Illinois Job Type: Right To Hire Pay Rate: $115 Description Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in ...
Physician Reviewer
Chicago, IL · On-site
Participates in the Physician Review Units' appeal process of service denials. * Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit ...
Physician Reviewer
Chicago, IL · On-site
Participates in the Physician Review Units' appeal process of service denials. * Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit ...
Physician Reviewer
Chicago, IL · On-site
Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit ...
Physician Reviewer
Chicago, IL · On-site
Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit ...
Physician Reviewer
Chicago, IL · On-site +1
Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit ...
Physician Reviewer
Chicago, IL · On-site +1
Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit ...
Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit ...
Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit ...
Physician Reviewer
Springfield, VA · On-site
The Physician Reviewer shall help answer questions and resolve complex medical record issues that may arise during the performance of this contract. Requirements: Work Experience: The Physician ...
Quick apply
Physician Reviewer
Springfield, VA · On-site
The Physician Reviewer shall help answer questions and resolve complex medical record issues that may arise during the performance of this contract. Requirements: Work Experience: The Physician ...
Remote Physician Medical Reviewer Pre-service reviews only. Training will be for 3-4 days per week for at least 4 weeks, Monday - Friday 8a-5pm [CST]. Seeking physician medical reviewer for remote ...
Remote Physician Medical Reviewer Pre-service reviews only. Training will be for 3-4 days per week for at least 4 weeks, Monday - Friday 8a-5pm [CST]. Seeking physician medical reviewer for remote ...
We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in ...
We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in ...
The MSO Physician Reviewer is responsible for ensuring the appropriate utilization of healthcare services while maintaining high standards of patient care. This role involves conducting evidence ...
The MSO Physician Reviewer is responsible for ensuring the appropriate utilization of healthcare services while maintaining high standards of patient care. This role involves conducting evidence ...
The MSO Physician Reviewer is responsible for ensuring the appropriate utilization of healthcare services while maintaining high standards of patient care. This role involves conducting evidence ...
The MSO Physician Reviewer is responsible for ensuring the appropriate utilization of healthcare services while maintaining high standards of patient care. This role involves conducting evidence ...
Physician Reviewer
Manhattan, NY · On-site
We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in ...
Physician Reviewer
Manhattan, NY · On-site
We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
$285K - $332K/yr
The MSO Physician Reviewer is responsible for ensuring the appropriate utilization of healthcare services while maintaining high standards of patient care. This role involves conducting evidence ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
$285K - $332K/yr
The MSO Physician Reviewer is responsible for ensuring the appropriate utilization of healthcare services while maintaining high standards of patient care. This role involves conducting evidence ...
JOB SUMMARY As a Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review medical records provided and return an independent, professional opinion on the ...
JOB SUMMARY As a Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review medical records provided and return an independent, professional opinion on the ...
... physician to process utilization reviews . Worker's Compensation experience is preferred but, not required. This telework opportunity provides the ability to customize your schedule and caseload ...
... physician to process utilization reviews . Worker's Compensation experience is preferred but, not required. This telework opportunity provides the ability to customize your schedule and caseload ...
Physician Reviewer
Manhattan, NY · On-site +1
We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in ...
Physician Reviewer
Manhattan, NY · On-site +1
We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in ...
Physician Reviewer
Manhattan, NY · Remote
We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in ...
Quick apply
Physician Reviewer
Manhattan, NY · Remote
We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in ...
Physicians provide objective, evidence-based opinions on the medical necessity of treatment ... Review medical records to determine the medical necessity of services * Utilize state-specific ...
Physicians provide objective, evidence-based opinions on the medical necessity of treatment ... Review medical records to determine the medical necessity of services * Utilize state-specific ...
Physician Reviewer information
See salary details
$89.9K is the 25th percentile. Wages below this are outliers.
$79.5K - $100.5K
51% of jobs
$100.5K - $121.5K
14% of jobs
$121.5K - $142.5K
3% of jobs
$142.5K - $163.5K
1% of jobs
$163.5K - $184.5K
1% of jobs
$198.3K is the 75th percentile. Wages above this are outliers.
$184.5K - $205.5K
8% of jobs
$205.5K - $226.5K
8% of jobs
$226.5K - $247.5K
5% of jobs
$247.5K - $268.5K
3% of jobs
$268.5K - $289.5K
2% of jobs
$289.5K - $310.5K
3% of jobs
$79.5K
$149K
$310.5K
How much do physician reviewer jobs pay per year?
As of Aug 17, 2026, the average yearly pay for physician reviewer in the United States is $149,049.00, according to ZipRecruiter salary data. Most workers in this role earn between $81,000.00 and $216,500.00 per year, depending on experience, location, and employer.
What is a physician reviewer?
A Physician Reviewer is a licensed medical doctor who evaluates clinical information and medical records to ensure that healthcare services are medically necessary and appropriate. They typically work for insurance companies, healthcare organizations, or government agencies, reviewing claims, appeals, and utilization management decisions. Their expertise helps determine whether treatments meet established guidelines and standards of care, promoting quality and cost-effective healthcare. Physician Reviewers play a key role in maintaining ethical and evidence-based medical practices.
What are the key skills and qualifications needed to thrive as a physician reviewer, and why are they important?
To thrive as a Physician Reviewer, you need a valid medical degree, clinical experience, and strong knowledge of evidence-based medicine and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications such as board certification or medical licensure are typically required. Excellent analytical skills, attention to detail, and effective written and verbal communication help in making sound clinical determinations and collaborating with healthcare teams. These skills ensure accurate, fair, and efficient medical reviews that support quality care and regulatory compliance.
What are some typical challenges physician reviewers face when evaluating complex medical cases?
Physician Reviewers often encounter cases with incomplete documentation or ambiguous clinical details, which can make it challenging to render objective decisions. They must balance evidence-based guidelines with individual patient circumstances while maintaining impartiality. Additionally, Physician Reviewers may need to communicate their findings clearly to both medical professionals and non-clinical staff, requiring strong written and verbal communication skills. Staying updated with evolving medical standards and payer policies is also essential for success in this role.
What is the difference between Physician Reviewer vs Medical Director?
| Aspect | Physician Reviewer | Medical Director |
|---|---|---|
| Credentials | Medical degree, medical license, often board-certified | Medical degree, medical license, often board-certified, leadership experience |
| Work Environment | Reviewing medical records, claims, or cases, often remotely or in office | Overseeing clinical operations, managing teams, strategic planning |
| Employer & Industry Usage | Insurance companies, healthcare organizations, legal firms | Hospitals, healthcare systems, insurance companies |
| Common Search & Comparison | Physician Reviewer vs Medical Director |
The main difference is that Physician Reviewers focus on evaluating medical records and claims to ensure accuracy and compliance, often working independently or remotely. Medical Directors, on the other hand, hold leadership roles, overseeing clinical operations and guiding healthcare policies. Both roles require medical credentials, but Medical Directors typically have additional leadership experience and responsibilities.
How much do physician reviewer peer reviewers make?
Physician reviewers typically earn between $50,000 and $150,000 annually, depending on experience, specialty, and the organization they work for. Many work as independent contractors or part-time reviewers, with pay often based on the number of reviews completed or hours worked.
How to become a physician reviewer?
To become a physician reviewer, you typically need a medical degree, such as an MD or DO, and relevant clinical experience. Many positions require familiarity with medical records, coding, and documentation review, often supported by certifications like the Certified Professional Medical Auditor (CPMA) or similar credentials. Strong analytical skills and attention to detail are essential for evaluating medical cases accurately.
More about Physician Reviewer jobs
What cities are hiring for Physician Reviewer jobs?
Cities with the most Physician Reviewer job openings:
What are the most commonly searched types of Physician Reviewer jobs?
The most popular types of Physician Reviewer jobs are:
Who are the top companies hiring for Physician Reviewer jobs?
The top employers for Physician Reviewer jobs are:
What states have the most Physician Reviewer jobs?
States with the most job openings for Physician Reviewer jobs include:
What job categories do people searching Physician Reviewer jobs look for?
The top searched job categories for Physician Reviewer jobs are:
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Job description
Medical Reviewer
Pay rate is ***/hour fully remote, but must reside in one of our plan states: IL, TX, NM, OK, MT, TN.
Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member. Participates in the process to evaluate clinical service requests. Practices anticipatory case management for members whose cases come for review, in partnership with case managers. Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit continuous quality improvement activities. Other duties as assigned by the Medical Director.
Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does not provide direct patient care or medical diagnosis.) Required hours: Monday through Friday, 8a-6p - intermittent coverage of weekend shifts.
EEO: "Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."
About Mindlance
Sourced by ZipRecruiter
Mindlance is a multinational staffing and services firm based in the Greater NYC area. We have 14 offices across the United States, Canada, and India. We match talented people to Fortune 500 and Fortune 1000 companies across industries. We have been in business since 1999 and are recognized by Staffing Industry Analysts (SIA) as one of the fastest-growing U.S. staffing firms. Our rapid growth means more jobs, more projects, and more opportunities for you. Our core philosophy means that you work with an organization that truly values and recognizes you.
Industry
Recruiting and staffing services
Company size
1,001 - 5,000 Employees
Headquarters location
Union, NJ, US
Year founded
1999