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Physician Reviewer information

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$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?

AspectPhysician ReviewerMedical Director
CredentialsMedical degree, medical license, often board-certifiedMedical degree, medical license, often board-certified, leadership experience
Work EnvironmentReviewing medical records, claims, or cases, often remotely or in officeOverseeing clinical operations, managing teams, strategic planning
Employer & Industry UsageInsurance companies, healthcare organizations, legal firmsHospitals, healthcare systems, insurance companies
Common Search & ComparisonPhysician 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.
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Physician Reviewer jobs near you
Infographic showing various Physician Reviewer job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 5% As Needed, 76% Full Time, 14% Part Time, and 4% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $149,049 per year, or $71.7 per hour.

Physician Reviewer - Psychiatry (Utilization Review)

Dane Street, LLC

New York, NY • Remote

Contractor

Re-posted 16 hours ago

Job description

Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist with an active New York medical license and Workers’ Compensation Board Certification to conduct Utilization Reviews.

This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests and appeals. No patient contact, no treatment, and no doctor-patient relationship is established.

Key Responsibilities:

  • Review medical records to determine the medical necessity of services
  • Utilize state-specific workers’ compensation guidelines and nationally recognized criteria
  • Submit clear, concise, and well-supported determinations
  • Complete reviews within required timeframes (typically 1–5 business days)
  • Participate in peer-to-peer calls as needed (coordinated by Dane Street)
  • Complete addenda when new information is provided

Role Highlights:

  • Independent contractor (1099) status
  • Average case takes 15 minutes or less
  • Flat rate per case – consistent, supplemental income
  • Fully remote – work from anywhere
  • You control volume and availability
  • No direct patient interaction or treatment
  • Chronological, pre-organized medical records provided
  • User-friendly portal and streamlined case management
  • Full onboarding and ongoing support included

Requirements:

  • Board Certification in Psychiatry
  • Active, unrestricted New York medical license
  • Workers’ Compensation Board Certification (New York)
  • Active clinical practice

About Dane Street:
Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physicians to ensure high-quality, evidence-based clinical decisions that support better outcomes across the healthcare system.

Apply today to join our Physician Review Panel and start earning on your schedule.