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Remote Medical Review Officer Jobs in Silver Spring, MD

RELI Group Inc.

Medical Review Nurse III

Baltimore, MD · On-site +1

$80K - $95K/yr

Perform automated and complex medical record and claim reviews to make coverage determinations ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

RELI GROUP INC

Medical Review Nurse III

Baltimore, MD · Remote

Perform automated and complex medical record and claim reviews to make coverage determinations ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

UnitedHealth Group

Senior Medical Coder

Washington, DC · Remote

$24 - $43/hr

The Senior Medical Coder performs concurrent review of FFS coding rules within Epic, ensuring all ... Remote Nationwide You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as ...

Harris

Remote Care Management - CMA

Washington, DC · Remote

Esrun Health is seeking Medical Assistants to work part-time from their home office as independent ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

J29 Inc.

Medical Reviewer, RN Coder

Millersville, MD · Remote

$18.25 - $24.25/hr

Remote *This role is a temporary position and that employment is expected to be for a limited ... Our team of 260 employees focuses on providing processing, review, and analysis of medical claims ...

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All JobsMedical Review Officer JobsRemote Medical Review Officer JobsRemote Medical Review Officer Jobs in Silver Spring, MD

Remote Medical Review Officer information

See Silver Spring, MD salary details

$21.7K

$95.7K

$184K

How much do remote medical review officer jobs pay per year?

As of Sep 4, 2026, the average yearly pay for remote medical review officer in Silver Spring, MD is $95,682.00, according to ZipRecruiter salary data. Most workers in this role earn between $87,400.00 and $87,400.00 per year, depending on experience, location, and employer.

What is a remote medical review officer?

A Remote Medical Review Officer (MRO) is a licensed physician who is responsible for reviewing and interpreting drug test results in a remote or telework setting. They serve as an independent and impartial party to ensure the accuracy and integrity of drug testing processes, mainly for workplace drug screening programs. The MRO reviews laboratory results, interviews individuals regarding test results, and determines if there is a legitimate medical explanation for any positive findings. Working remotely, they utilize secure digital platforms to communicate with clients, laboratories, and employees while maintaining confidentiality and compliance with legal regulations.

What are the key skills and qualifications needed to thrive as a remote medical review officer, and why are they important?

To thrive as a Remote Medical Review Officer, you need a valid medical degree (MD or DO), licensure, and expertise in interpreting laboratory and toxicology results. Familiarity with secure telemedicine platforms, electronic health records (EHRs), and drug testing management software is essential. Strong attention to detail, ethical judgment, and effective written communication are standout soft skills in this role. These competencies are crucial for ensuring regulatory compliance, accurate decision-making, and trustworthy client interactions in remote settings.

How does a remote medical review officer typically collaborate with other healthcare professionals while working offsite?

As a Remote Medical Review Officer, you'll regularly collaborate with healthcare providers, laboratory staff, and case managers through secure digital communication channels, such as teleconferencing, email, and specialized electronic medical record systems. Although you're not onsite, effective teamwork is essential for reviewing test results, clarifying clinical information, and ensuring compliance with regulatory standards. You'll need strong communication skills to coordinate efficiently, resolve discrepancies, and provide clear, timely feedback to all stakeholders involved in the patient care process.

What is the difference between Remote Medical Review Officer vs Remote Drug and Alcohol Tester?

AspectRemote Medical Review OfficerRemote Drug and Alcohol Tester
CredentialsMedical license, certification in MRO or related fieldsCertification in drug testing or collection procedures
Work EnvironmentReviewing medical records remotely, analyzing drug test resultsConducting or overseeing drug and alcohol tests remotely or at collection sites
Industry UsageHealthcare, DOT compliance, occupational healthWorkplace safety, transportation, employment screening

The Remote Medical Review Officer primarily reviews medical records and drug test results to ensure compliance, requiring medical credentials. In contrast, Remote Drug and Alcohol Testers focus on administering or overseeing drug testing processes. Both roles are essential in workplace health and safety but differ in responsibilities and required qualifications.

What are popular job titles related to Remote Medical Review Officer jobs in Silver Spring, MD?

For Remote Medical Review Officer jobs in Silver Spring, MD, the most frequently searched job titles are:

What job categories do people searching Remote Medical Review Officer jobs in Silver Spring, MD look for?

The top searched job categories for Remote Medical Review Officer jobs in Silver Spring, MD are:

Remote Medical Review Officer jobs near you
Infographic showing various Remote Medical Review Officer job openings in Silver Spring, MD as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $95,682 per year, or $46 per hour.

Medical Review Nurse III

RELI Group Inc.

Baltimore, MD • On-site, Remote

$80K - $95K/yr

Full-time

Re-posted 5 days ago

Job description

About Us:
At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs.
Perform automated and complex medical record and claim reviews to make coverage determinations based on applicable Medicare coverage policies and payment rules, coding guidelines, National and Local Coverage Determinations, utilization/practice guidelines, and clinical review judgment. Provides professional assessment, planning, coordination, implementation, and reporting of complex data to support the Recovery Auditor Validation Contract (RVC).
Essential Functions
  • Perform accuracy review of automated and complex Medicare medical record and claims review in accordance with all State and Federal mandated regulations/guidelines.
  • Perform accuracy reviews as a Special Study requested by CMS.
  • Document findings for each claim in a clear and concise manner.
  • Compile a report explaining the claim reviews, including identified patterns, inappropriate determinations, as well as recommendations.
  • Reasonably determines appropriateness to consult a Subject Matter Expert (SME) for clarification.
  • Perform medical record reviews in response to RAC disputes/disagrees with the RVC review decisions.
  • Perform accuracy review of the New Issue Proposal for appropriate regulations, references, policies, and edit parameters. Compile a report of analysis and recommendations to submit to CMS.
  • Perform New Issue Quality Assurance Review for accuracy of all criteria and references.
  • Consistently meet or exceed productivity and accuracy standards of 95% minimum IRR established by the customer and/or the Company.
  • Report problems to the Medical Review Manager (MRM) and Project Manager (PM) regarding unique record or process issues.
  • Maintain security and confidentiality of medical records and Protected Health Information (PHI) and Personally Identifiable Information (PII).
  • Consistently meet attendance standards established by the Company and follows the telecommuting policy.
  • Interact appropriately with peers, co-workers, other Contractors, and the customer, when necessary. Contribute to building a positive team spirit.
  • On occasions may be asked by the MRM or PM to assist with development of training and/or resource materials.
  • May be asked to assist with precepting of new Medical Review Nurses (MRNs).
  • Perform other duties and projects as assigned.

Required Education and Experience
  • Registered Nurse, with a current unobstructed license to practice nursing in the United States. Graduate of a Board approved Registered Nursing program.
  • A Bachelor's Degree in Nursing (BSN) or other related field is preferred.
  • Certification in coding highly preferred.
  • A minimum of three (3) years clinical experience in an acute care hospital, skilled nursing facility, and/or an office/clinic-based medical practice.
  • A minimum of three (3) or more years' experience in medical/utilization medical record review particularly with Medicare and/or Medicaid.
  • Proficiency in research, interpretation, and application of Medicare, Medicaid, and local healthcare regulations and policies.
  • Must be proficient in Microsoft Office Suite such as Outlook, Excel and Word.

Skills & Abilities
  • Ability to work independently and maintain an elevated level of concentration.
  • Capable of consistency, speed, and accuracy of task.
  • Ability to read, analyze, and interpret physician documentation.
  • One year or more of utilizing InterQual and /or Milliman guidelines against inpatient services experience is preferred.
  • Ability to communicate clearly and professionally with all levels of the organization, both written and verbal.
  • Ability to work well in a remote team environment, to collaborate with others, and interface with team members internal and external to the organization.
  • Establishes and maintains effective professional relationships with internal and external stakeholders.
  • Must be able to adapt to organizational change.
  • Must be proficient in Microsoft Office Suite such as Outlook, Excel, and Word.
  • Flexibility and ability to plan, prioritize, and execute multiple tasks in a fast-paced environment.
  • Self-motivated, well-organized, and detail oriented.
  • Ability to maintain a high level of confidentiality and integrity

EEO Employer:
RELI Group is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
HUBZone:
We encourage all candidates who live in a HUBZone to apply. You can check to see if your address is located in a HUBZone by accessing the SBA HUBZone Map.
The annual salary range for this position is $80,000 to $95,000. Actual compensation will depend on a range of factors, including but not limited to the individual's skills, experience, qualifications, certifications, location, other business and organizational needs, and applicable employment laws. The estimate displayed represents the typical salary range for this position and is just one component of the total compensation package for employees. RELI Group provides a variety of additional benefits to its employees. For additional details on the benefits that RELI Group offers click here

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