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Remote Medical Record Review Jobs in Riverside, CA

Medical Director Physician

Pomona, CA ยท Remote

$250K - $350K/yr

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea ...

Medical record review/summaries, * Conducting depositions of plaintiffs, witnesses, and experts, * Attend court hearings, * Prepare motions/oppositions, * Prepare case status reports to carriers

... treatment, certifies the medical necessity and assigns an appropriate length of stay while ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

Bill Review Specialist

Lake Forest, CA ยท On-site +1

$20.25 - $28/hr

Our dynamic Bill Review team is seeking a full-time Bill Review Specialist (REMOTE) to review, audit, and process workers' compensation medical bills while ensuring compliance with state fee ...

Lead Medical Assistant Float

Irvine, CA ยท Remote

$19 - $25.25/hr

... remote tasking support, and other remote patient care activities. You will build meaningful ... Collects and documents patient information, including vital signs, chief complaints, reviews of ...

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Remote Medical Record Review information

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How much do remote medical record review jobs pay per hour?

As of Jul 23, 2026, the average hourly pay for remote medical record review in Riverside, CA is $22.43, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $23.85 per hour, depending on experience, location, and employer.

What is a Remote Medical Record Review job?

A Remote Medical Record Review job involves analyzing and evaluating patient medical records to ensure accuracy, compliance, and quality. Professionals in this role often work for insurance companies, healthcare organizations, or legal firms to assess documentation for billing, coding, or legal purposes. Responsibilities may include reviewing diagnoses, treatments, and patient history to verify compliance with regulations and guidelines. This job is typically performed from home using secure online systems, requiring strong attention to detail, medical knowledge, and familiarity with health records. Experience in nursing, medical coding, or health information management is often beneficial.

What does a typical workday look like for someone in a Remote Medical Record Review role?

A typical day for a Remote Medical Record Review professional involves carefully auditing electronic patient records for accuracy, completeness, and compliance with healthcare regulations. You may collaborate virtually with physicians, nurses, and coding specialists to resolve discrepancies and ensure proper documentation. The schedule is often flexible, but strong organizational skills are needed to manage caseloads and meet deadlines. Most work can be done independently, though regular communication with healthcare teams or supervisors is usually required for complex cases or updates. This role offers the opportunity to make a direct impact on patient care quality while enjoying the benefits of remote work.

What are the key skills and qualifications needed to thrive in the Remote Medical Record Review position, and why are they important?

To succeed as a Remote Medical Record Review professional, you typically need a background in healthcare, strong attention to detail, and proficiency in reviewing and interpreting medical documentation. Experience with electronic health records (EHR) systems, knowledge of medical terminology, and certifications like RHIT or CPC are often required. Strong analytical thinking, time management, and effective communication skills are highly valued in this remote setting. These abilities ensure that medical records are accurately evaluated for completeness and compliance, contributing to high-quality healthcare delivery and regulatory adherence.

What are popular job titles related to Remote Medical Record Review jobs in Riverside, CA? For Remote Medical Record Review jobs in Riverside, CA, the most frequently searched job titles are:
What cities near Riverside, CA are hiring for Remote Medical Record Review jobs? Cities near Riverside, CA with the most Remote Medical Record Review job openings:
Medical Director Physician

Medical Director Physician

Inspire Healthcare

Pomona, CA โ€ข Remote

$250K - $350K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday


Job description

We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the LAarea and be available for occasional on-site meetings and trainings.

Responsibilities
  • Review prior authorization requests and determine medical necessity using evidence-based clinical guidelines.
  • Approve, deny, modify, or redirect services as appropriate.
  • Collaborate with nurses, physicians, and care management teams to support high-quality, cost-effective care.
  • Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement initiatives.
  • Serve as a clinical resource to providers on utilization management and patient care issues.
Qualifications
  • MD or DO degree required.
  • Board Certification in Internal Medicine strongly preferred.
  • Minimum 5 years of clinical experience required.
  • 2+ years of managed care, health plan, or utilization management experience preferred.
  • Strong knowledge of prior authorization processes and medical necessity criteria.
  • Excellent communication, organizational, and decision-making skills.
  • Proficiency with Microsoft Office and remote work technology.
Compensation & Benefits
  • Salary: $250,000"$350,000 annually DOE.
  • Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, life insurance, FSA, tuition reimbursement, CME/license reimbursement, and employee assistance programs.

This is an excellent opportunity to join one of Southern California's fastest-growing physician organizations in a leadership role that supports quality patient care while maintaining work-life balance.