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Physician Reviewer Jobs (NOW HIRING)

Dane Street

Utilization Management Physician Reviewer

  • Medical

  • PTO

Dane Street, a certified "Great Place to Work" company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise ...

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Physician Reviewer information

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$79.5K

$149K

$310.5K

How much do physician reviewer jobs pay per year?

As of Aug 18, 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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The top searched job categories for Physician Reviewer jobs are:

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 - Orthopedic Surgery (GA)

Dane Street

Remote

Other

Re-posted 13 days ago

Job description

Overview
Dane Street is seeking experienced Orthopedic Surgeons licensed in Georgia to join our growing panel of independent physician reviewers. In this role, you will utilize your orthopedic expertise to conduct medical record reviews and provide objective, evidence-based clinical opinions.
This fully remote opportunity offers flexible scheduling and the ability to customize your workload while working as a 1099 independent contractor.
Position Description
As a Physician Reviewer, you will evaluate medical records, prepare concise clinical summaries, and provide independent medical opinions in response to client-specific questions. Reviews may involve assessing medical necessity, causation, appropriateness of care, treatment recommendations, impairment ratings, and disability-related matters.
Primary responsibilities include:
  • Reviewing medical records and supporting documentation
  • Conducting evidence-based clinical assessments
  • Preparing clear and comprehensive written reports
  • Participating in peer-to-peer discussions when necessary
  • Answering client-specific questions regarding orthopedic conditions and treatment plans
  • Applying current clinical guidelines and standards of care to all reviews
Areas of Expertise
  • General Orthopedic Surgery
  • Musculoskeletal Injuries and Disorders
  • Fracture Management
  • Joint Conditions and Degenerative Disease
  • Sports-Related Injuries
  • Trauma and Orthopedic Rehabilitation
  • Surgical and Non-Surgical Orthopedic Care
Join a team that values your expertise and commitment to improving the quality and accuracy of healthcare assessments. Your clinical knowledge plays an important role in supporting high-quality medical determinations.
Requirements
  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO)
  • Board Certification in Orthopedic Surgery
  • Current, unrestricted Georgia medical license
  • Active clinical practice or recent experience in Orthopedic Surgery
  • Minimum of 5 years of post-residency clinical experience
  • Ability to attend required orientation and training sessions
  • Maintain all applicable licensure, certifications, credentialing, and professional requirements necessary to perform reviewer services
Benefits
  • Independent consultant role with flexible scheduling
  • Choose your case types and workload based on your availability
  • No physician-patient relationship established; no treatment is rendered-all reviews are advisory in nature only
  • Streamlined case management through a user-friendly online portal
  • Administrative support provided by Dane Street, including medical record collection and organization
  • Fully prepared cases with chronological medical records and applicable clinical guidelines
  • Initial training, ongoing support, and a dedicated point of contact
  • Predictable workflow with opportunities for supplemental professional income

Dane Street is committed to partnering with highly qualified physicians who bring clinical excellence, objectivity, and professionalism to every review.

Apply