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

Athena

Remote Psychotherapist

Rochester, NY · Remote

Weekly Clinical Supervision is provided by experienced Licensed Clinicians * Free CEU Credits for ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...

Deloitte

Hospital Billing Analyst

Rochester, NY · Remote

$47.40K - $63.10K/yr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Review patient accounts, charge details, coding inputs, and supporting documentation for billing ...

Rochester Regional Health

Coder-Outpatient

Rochester, NY · On-site +1

$22.25 - $30.25/hr

SUMMARY Review clinical documentation and diagnostic results to extract data and apply appropriate ... Remote SCHEDULE: Day shift RESPONSIBILITIES * Abides by the Standards of Ethical Coding as set ...

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Remote Clinical Reviewer information

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How much do remote clinical reviewer jobs pay per hour?

As of May 28, 2026, the average hourly pay for remote clinical reviewer in Rochester, NY is $35.44, according to ZipRecruiter salary data. Most workers in this role earn between $30.82 and $39.86 per hour, depending on experience, location, and employer.

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 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.

More about Remote Clinical Reviewer jobs
What are popular job titles related to Remote Clinical Reviewer jobs in Rochester, NY? For Remote Clinical Reviewer jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Remote Clinical Reviewer jobs in Rochester, NY look for? The top searched job categories for Remote Clinical Reviewer jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Remote Clinical Reviewer jobs? Cities near Rochester, NY with the most Remote Clinical Reviewer job openings:
Remote Clinical Reviewer jobs near you
Licensed Clinical Social Worker (LCSW)

Licensed Clinical Social Worker (LCSW)

Gotham Enterprises Ltd

Rochester, NY • On-site, Remote

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted 25 days ago

Job description

Licensed Clinical Social Worker (LCSW)
Job Summary
This full-time telehealth role gives Licensed Clinical Social Workers the opportunity to provide therapy from a remote setting while supporting clients throughout New York. The work includes conducting virtual sessions, building treatment plans, documenting progress, and helping clients work through personal, emotional, and mental health concerns. This position is a strong fit for an LCSW who values structure, client-centered care, and the flexibility of remote clinical work.
Location: New York
Work Setting: Remote / Telehealth
Position Type: Full-Time
Salary: $115,000-$120,000 per year
Schedule: Monday-Friday, 9:00 AM-5:00 PM
Responsibilities
  • Deliver remote therapy services to clients through video-based sessions
  • Conduct intake appointments and clinical evaluations
  • Develop practical treatment plans based on client needs and goals
  • Provide support for clients experiencing mood concerns, stress, grief, trauma, family issues, or major life changes
  • Keep clear and complete clinical notes after each session
  • Review client progress and update goals as treatment continues

Requirements
  • Master's degree in Social Work from an accredited program
  • Active New York LCSW license in good standing
  • Previous clinical experience providing therapy or behavioral health services
  • Strong documentation and clinical assessment skills
  • Comfortable using telehealth platforms and electronic health records
  • Reliable internet connection and a private workspace
  • Ability to manage a full-time caseload with professionalism and care

Benefits
  • 2 weeks PTO
  • Health Insurance
  • 401K Plan with 3% Company Match

If you are an LCSW looking for a steady remote role where you can focus on meaningful client care, we encourage you to submit your application and take the next step in your clinical career.
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About Gotham Enterprises

Sourced by ZipRecruiter

Gotham Enterprises, Ltd., headquartered in Queens/Fresh Meadows, NY, is a healthcare and mental‑health staffing and job placement platform that connects licensed professionals (psychiatrists, nurse practitioners, therapists, medical assistants, allied health) with in‑person, contract, per‑diem, and permanent assignments across New York State. Working through its job portal and regional offices, Gotham serves outpatient clinics, home‑care agencies, schools, and community health centers, offering roles including Licensed Mental Health Counselors (LMHC), Psychiatric–Mental Health Nurse Practitioners (PMHNP), PAs, and clinic support staff. The company is actively recruiting and retains a distributed workforce with both in‑office and remote recruiters; salaries for PMHNP roles average ~$160,000/year.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Montclair, NJ, US

Year founded

2016

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