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Remote Clinical Reviewer Jobs in Springfield, IL

DataAnnotation

Peer Review Coordinator

Springfield, IL · Remote

$20/hr

... Clinical Support & Ambulatory Operations. Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible schedule Projects are paid hourly starting at $20+ per ...

Springfield Clinic

Certified Coder

Springfield, IL · On-site +1

$22.50 - $30/hr

This position is responsible for reviewing clinical documentation and applying the correct coding ... In office, remote optional based off productivity/accuracy standards PHI/Privacy Level HIPAA1

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$24

$35

$45

How much do remote clinical reviewer jobs pay per hour?

As of May 28, 2026, the average hourly pay for remote clinical reviewer in Springfield, IL is $35.60, according to ZipRecruiter salary data. Most workers in this role earn between $30.96 and $40.05 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 Springfield, IL? For Remote Clinical Reviewer jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Remote Clinical Reviewer jobs in Springfield, IL look for? The top searched job categories for Remote Clinical Reviewer jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Remote Clinical Reviewer jobs? Cities near Springfield, IL with the most Remote Clinical Reviewer job openings:
Remote Clinical Reviewer jobs near you
Infographic showing various Remote Clinical Reviewer job openings in Springfield, IL as of May 2026, with employment types broken down into 63% Full Time, 21% Part Time, and 16% Contract. Highlights an 100% Remote job distribution, with an average salary of $74,043 per year, or $35.6 per hour.
Remote Clinical AI Reviewer for Healthcare QA

Remote Clinical AI Reviewer for Healthcare QA

DataAnnotation

Springfield, IL • Remote

$50 - $60/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

A leading AI training company in Illinois is seeking a Clinical Reviewer to evaluate AI chatbot outputs for medical accuracy and performance. Candidates should be fluent in English and currently pursuing or holding a medical degree. This position offers flexible hours, allowing you to choose projects and work at your own pace.

Compensation is hourly at a rate of $50-$60, with additional bonuses for high-quality work. Only applicants from the United States will be considered. #J-18808-Ljbffr

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