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Remote Clinical Reviewer Jobs in New Rochelle, NY

MedReview

DRG Reviewer

Manhattan, NY · On-site +1

$85K - $90K/yr

... clinical review to support coded diagnoses. This is a fully remote position. Candidates must be available to work Eastern Standard Time (EST) business hours. Salary: $85,000-$90,000 annually ...

MedReview

DRG Reviewer

Manhattan, NY · Remote

... clinical review to support coded diagnoses. This is a fully remote position. Candidates must be available to work Eastern Standard Time (EST) business hours. Salary: $85,000-$90,000 annually ...

MedReview

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 ...

MedReview

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 ...

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Remote Clinical Reviewer information

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$47

How much do remote clinical reviewer jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for remote clinical reviewer in New Rochelle, NY is $36.96, according to ZipRecruiter salary data. Most workers in this role earn between $32.16 and $41.54 per hour, depending on experience, location, and employer.

What is a remote clinical reviewer?

Remote Clinical Reviewers are healthcare professionals, often nurses or physicians, who evaluate medical records and treatment plans from a remote location to ensure they meet clinical guidelines and insurance requirements. They assess the necessity, appropriateness, and quality of care provided to patients, often working for insurance companies, healthcare organizations, or third-party review agencies. This role typically involves reviewing documentation, making recommendations, and communicating findings electronically or by phone. The position allows for flexible, home-based work while contributing to healthcare quality and compliance.

What does a remote clinical reviewer do?

A remote clinical reviewer works from home reviewing medical records and claims for inpatient and outpatient services. Your responsibilities include executing a thorough review of patient medical records, submitting documentation to insurance companies, and ensuring accurate, timely, and secure processing of patient information. As a clinical reviewer, your duties span determining coverage for diagnosis and treatment, reviewing appeals, and processing correspondence. You provide remote support and expertise to department care coordinators, interact with teams and department heads as necessary, and request additional information for processing records as necessary.

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

To thrive as a Remote Clinical Reviewer, you need a healthcare background such as RN, LPN, or other clinical licensure, along with strong knowledge of medical guidelines and utilization review processes. Familiarity with electronic medical record (EMR) systems, medical coding, and utilization management software is typically required. Attention to detail, analytical thinking, and clear written communication are crucial soft skills for reviewing patient cases and collaborating with remote teams. These skills and qualifications ensure accurate and timely clinical assessments, support compliance, and help facilitate appropriate patient care decisions in a virtual environment.

How does a remote clinical reviewer typically collaborate with other healthcare professionals while working offsite?

Remote Clinical Reviewers regularly coordinate with physicians, nurses, and case managers through secure digital platforms, such as video conferencing, email, and electronic health record systems. Despite working remotely, they are integral to interdisciplinary teams and often participate in virtual meetings to discuss patient cases, clarify documentation, and ensure compliance with clinical guidelines. Building strong communication skills and familiarity with collaboration tools is essential for success in this role, as frequent interaction with both internal teams and external providers is a common aspect of daily responsibilities.

What is the difference between Remote Clinical Reviewer vs Remote Medical Reviewer?

AspectRemote Clinical ReviewerRemote Medical Reviewer
Required CredentialsRN, LPN, or other healthcare licenses; clinical experienceMD or DO license; medical degree; clinical experience
Work EnvironmentHome-based, healthcare organizations, insurance companiesHome-based, insurance companies, healthcare organizations
Employer & Industry UsageInsurance, healthcare providers, government programsInsurance, healthcare, legal medical review
Common Search & ComparisonYesYes

Remote Clinical Reviewers typically hold nursing or healthcare licenses and focus on reviewing clinical documentation and patient care. Remote Medical Reviewers usually have medical degrees and perform in-depth medical assessments, often for insurance claims or legal cases. Both roles are home-based and serve similar industries, but the Medical Reviewer requires a medical degree and broader clinical expertise.

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Remote Clinical Reviewer jobs near you

Senior Hospitalist Clinical Reviewer

YO AI Labs

New York, NY • Remote

Full-time

Posted 18 days ago

Job description

Senior Hospitalist Clinical Reviewer

Job Type: Contractor
Location: Remote

Job Overview

We are seeking experienced Senior Hospitalist Clinical Reviewers to support a high-impact project focused on inpatient clinical quality, documentation accuracy, and medical review. In this role, you will apply your hospitalist expertise and clinical judgment to evaluate inpatient cases, identify complex or ambiguous clinical scenarios, and provide clear, well-reasoned feedback.

This opportunity is ideal for experienced physicians with a strong background in hospital medicine, inpatient quality, medical auditing, clinical documentation, and quality assurance.

Key Responsibilities
  • Review inpatient cases for clinical quality, appropriate care, and documentation accuracy.
  • Evaluate clinical decisions and identify potential quality, documentation, or care concerns.
  • Apply advanced clinical judgment to complex, unusual, or ambiguous inpatient cases.
  • Provide clear and concise explanations supporting clinical review decisions.
  • Assess medical records, clinical documentation, and relevant supporting information.
  • Identify inconsistencies, gaps, or areas requiring clarification within clinical documentation.
  • Apply established clinical standards, guidelines, and quality frameworks when appropriate.
  • Contribute to the development and improvement of clinical review guidelines and quality standards.
  • Collaborate with project teams to resolve challenging clinical cases and review questions.
  • Maintain consistent, accurate, and high-quality review standards across assigned cases.
  • Work independently while meeting project timelines and quality expectations.
Required Qualifications
  • MD or DO degree.
  • 10+ years of attending-level hospitalist experience.
  • Strong experience in inpatient medicine and hospital-based clinical care.
  • Demonstrated experience with inpatient quality, clinical documentation review, medical auditing, or quality assurance.
  • Excellent clinical judgment and ability to evaluate complex or ambiguous cases.
  • Strong written and verbal communication skills.
  • Ability to clearly articulate clinical reasoning and support review decisions.
  • Strong attention to detail and ability to analyze medical records comprehensively.
  • Ability to work independently in a remote environment.
Preferred Qualifications
  • Experience leading or contributing to hospital quality improvement programs.
  • Experience with clinical documentation improvement (CDI).
  • Experience with medical coding, utilization review, or physician audit processes.
  • Experience developing or reviewing clinical quality standards.
  • Familiarity with hospital quality metrics and inpatient quality initiatives.
  • Previous experience mentoring physicians or participating in physician peer review.
Core Skills
  • Inpatient Quality
  • Quality Assurance
  • Medical Auditing
  • Hospital Medicine / Hospitalist Practice
  • Clinical Judgment
  • Clinical Documentation Review
  • Medical Record Review
  • Quality Improvement
  • Critical Thinking
  • Written and Verbal Communication
  • Attention to Detail