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Remote Clinical Reviewer Jobs in Rochester, MN (NOW HIRING)

PRIDE Healthcare

Inpatient CDI Specialist

Rochester, MN · Remote

$50 - $60/hr

Review inpatient medical records concurrently and retrospectively to ensure accurate clinical ... Ability to work independently in a remote environment with minimal supervision required. * High ...

Dutch

Virtual Care Veterinarian (Remote)

Rochester, MN · Remote

$50 - $80/hr

... clinical autonomy. What You'll Do * Conduct virtual consultations with pet parents via video and ... Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform

Enara Health

Remote Exercise Specialist

Rochester, MN · On-site +1

$22 - $31/hr

Clinical experience in a related field is highly desirable. * ACSM certification is mandatory, or ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...

Enara Health

Remote Exercise Specialist

Rochester, MN · Remote

$22 - $31/hr

Clinical experience in a related field is highly desirable. * ACSM certification is mandatory, or ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...

Enara Health

Remote Exercise Specialist

Rochester, MN · Remote

$22 - $31/hr

Clinical experience in a related field is highly desirable. * ACSM certification is mandatory, or ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...

Enara Health

Remote Nutrition Specialist

Rochester, MN · Remote

$26 - $36/hr

Knowledge of clinical competencies based on Nutrition Care Standards of the Academy of Nutrition ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...

Enara Health

Remote Nutrition Specialist

Rochester, MN · On-site +1

$26 - $36/hr

Knowledge of clinical competencies based on Nutrition Care Standards of the Academy of Nutrition ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...

Scribe-X

Remote Medical Scribe

Rochester, MN · Remote

$14 - $17/hr

Work from home and gain clinical experience! * Receive extensive paid training that will help you ... Review completed charts with the provider between patients or at the completion of shift * Update ...

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All JobsRemote Clinical Reviewer JobsRemote Clinical Reviewer Jobs in Rochester, MN

Remote Clinical Reviewer information

See Rochester, MN salary details

$23

$35

$45

How much do remote clinical reviewer jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for remote clinical reviewer in Rochester, MN is $35.06, according to ZipRecruiter salary data. Most workers in this role earn between $30.53 and $39.42 per hour, depending on experience, location, and employer.

What are Remote Clinical Reviewers?

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 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.

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 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.

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.

More about Remote Clinical Reviewer jobs
What are popular job titles related to Remote Clinical Reviewer jobs in Rochester, MN? For Remote Clinical Reviewer jobs in Rochester, MN, the most frequently searched job titles are:
What job categories do people searching Remote Clinical Reviewer jobs in Rochester, MN look for? The top searched job categories for Remote Clinical Reviewer jobs in Rochester, MN are:
What cities near Rochester, MN are hiring for Remote Clinical Reviewer jobs? Cities near Rochester, MN with the most Remote Clinical Reviewer job openings:
Remote Clinical Reviewer jobs near you
Infographic showing various Remote Clinical Reviewer job openings in Rochester, MN as of May 2026, with employment types broken down into 70% Full Time, 21% Part Time, 1% Temporary, and 8% Contract. Highlights an 69% Physical, 3% Hybrid, and 28% Remote job distribution, with an average salary of $72,935 per year, or $35.1 per hour.
Inpatient CDI Specialist

Inpatient CDI Specialist

PRIDE Healthcare

Rochester, MN • Remote

$50 - $60/hr

Contractor

Medical, Dental, Vision, Retirement

Posted 11 days ago

Job description

Job Title: Inpatient CDI Specialist

Location: 100% Remote – Work from Anywhere in the U.S.

Duration: 30-Week Contract with Chances of Extension

Schedule: Sun- Thu | 8x5 per week
Pay Range: $50-$60/hour (W2) (Negotiable)

Key Responsibilities:

  • Review inpatient medical records concurrently and retrospectively to ensure accurate clinical documentation and coding support.
  • Analyze medical records to capture severity of illness, risk of mortality, complexity of care, and medical necessity accurately.
  • Identify documentation gaps and collaborate with physicians, coders, case management, nursing, and clinical staff to improve record accuracy and completeness.
  • Facilitate physician queries and documentation clarification to support compliant coding and reimbursement practices.
  • Validate that discharge diagnoses, co-morbidities, and procedures accurately reflect the patient’s clinical condition and treatment provided.
  • Apply advanced knowledge of pathophysiology, medications, disease processes, coding guidelines, and regulatory compliance standards.
  • Support quality improvement initiatives related to documentation integrity, coding accuracy, and reimbursement optimization.
  • Serve as a clinical documentation resource and educator for physicians and healthcare staff.
  • Maintain compliance with federal and state regulations, coding guidelines, and documentation integrity standards.

Requirements:

  • Minimum 2 years of recent experience as an Inpatient Clinical Documentation Integrity Specialist (ICDIS) required.
  • Experience performing concurrent inpatient medical record review in a production-based environment within the last 12 months required.
  • Strong analytical thinking, problem-solving, and critical thinking skills required.
  • Excellent verbal and written communication skills with the ability to collaborate effectively with physicians and healthcare teams required.
  • Ability to work independently in a remote environment with minimal supervision required.
  • High School Diploma or GED required.

Required Certifications / Credentials (One or More):

  • Certified Clinical Documentation Specialist
  • Certified Coding Specialist
  • Certified Coding Specialist-Physician-based
  • Certified Documentation Improvement Practitioner
  • Registered Health Information Administrator
  • Registered Health Information Technician
  • Registered Nurse
  • Registered Respiratory Therapist

Company Description

Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
PRIDE Health logo

About PRIDE Health

Sourced by ZipRecruiter

PRIDE Health is the minority-owned healthcare recruitment division of Pride Global--an integrated human capital solutions and advisory firm. With our robust and abundant travel nursing and allied health employment options across the U.S., PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry's leading healthcare organizations.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

New York, NY, US

Year founded

2010

View All PRIDE Health Jobs