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Remote Medical Review Physician Jobs (NOW HIRING)

Claims Review Physician Fully Remote Overview Position Type: Contractor Job Shift: Any Description ... DERMATOLOGY GASTROENTEROLOGY IMMUNOLOGY INTERNAL MEDICINE MEDICAL ONCOLOGY ORTHOPEDICS ...

$250/wk

DERMATOLOGY GASTROENTEROLOGY IMMUNOLOGY INTERNAL MEDICINE MEDICAL ONCOLOGY OBSTETRICS ORTHOPEDICS ... This is a flexible, fully remote 1099 opportunity. You will be responsible for resolving claim ...

About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited ... Position Overview As an Independent Physician Reviewer, you will perform objective medical record ...

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About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited ... Position Overview As an Independent Physician Reviewer, you will perform objective medical record ...

New

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... We are currently seeking Board-Certified Physical Medicine & Rehabilitation Physicians to join our ...

About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited ... Position Overview As an Independent Physician Reviewer, you will perform objective medical record ...

New

About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited ... Position Overview As an Independent Physician Reviewer, you will perform objective medical record ...

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Remote Medical Review Physician information

See salary details

$97.5K

$217.4K

$350K

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

As of Aug 28, 2026, the average yearly pay for remote medical review physician in the United States is $217,445.00, according to ZipRecruiter salary data. Most workers in this role earn between $190,000.00 and $244,500.00 per year, depending on experience, location, and employer.

What does a remote medical review physician do?

A Remote Medical Review Physician evaluates medical records and documentation to determine the medical necessity, appropriateness, and compliance of healthcare services, usually for insurance companies or healthcare organizations. They work from a remote location, reviewing cases, providing second opinions, and ensuring that treatments meet clinical guidelines. Their responsibilities also include preparing detailed reports and communicating findings with healthcare providers. This role requires a valid medical license and clinical experience, as well as strong analytical and communication skills.

What are the key skills and qualifications needed to thrive as a remote medical review physician?

To thrive as a Remote Medical Review Physician, you need a medical degree, board certification, and clinical experience, often with an active state medical license. Familiarity with electronic health records (EHRs), utilization management systems, and telemedicine platforms is typically required. Strong analytical skills, attention to detail, and effective written communication help you excel in reviewing cases and preparing clear reports. These skills are crucial for ensuring accurate, evidence-based determinations that impact patient care and healthcare compliance.

How does a remote medical review physician typically collaborate with other healthcare professionals while working remotely?

Remote Medical Review Physicians often work closely with nurses, case managers, and other physicians via secure digital platforms. Collaboration usually involves reviewing patient records, discussing complex cases, and providing recommendations through video calls, emails, or secure messaging. Despite not being physically present, they play an integral role in multidisciplinary teams, ensuring that patient care decisions are evidence-based and compliant with regulatory standards. Effective communication and familiarity with telemedicine tools are key to successful teamwork in this remote setting.

What is the difference between Remote Medical Review Physician vs Remote Medical Coder?

AspectRemote Medical Review PhysicianRemote Medical Coder
CredentialsMedical degree, medical license, often board-certifiedCoding certifications (e.g., CPC, CCS), no medical license required
Work EnvironmentReviewing medical records, making clinical assessmentsAnalyzing medical documentation for coding purposes
Industry UsageInsurance companies, workers' compensation, disability reviewHealthcare billing, insurance claims processing

The Remote Medical Review Physician and Remote Medical Coder roles both operate remotely within the healthcare industry. The physician reviews medical records and makes clinical judgments, requiring medical credentials and licensing. In contrast, the medical coder focuses on translating medical documentation into billing codes, requiring coding certifications. Both roles are essential in healthcare administration but differ significantly in responsibilities and qualifications.

What are the best remote medical review physician jobs?

The best remote medical review physician jobs are typically found with insurance companies, third-party administrators, and telehealth organizations that require medical necessity reviews and claims assessments. These roles often require a medical license, clinical experience, and familiarity with electronic health records and review software. They offer flexible schedules and the ability to work from home, making them popular among physicians seeking remote work opportunities.
More about Remote Medical Review Physician jobs

What cities are hiring for Remote Medical Review Physician jobs?

Cities with the most Remote Medical Review Physician job openings:

What states have the most Remote Medical Review Physician jobs?

States with the most job openings for Remote Medical Review Physician jobs include:

Infographic showing various Remote Medical Review Physician job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $217,445 per year, or $104.5 per hour.

Hospice Physician Audit Reviewer (Remote)

VITAS Healthcare

Miramar, FL • On-site, Remote

Full-time

Posted 7 days ago


VITAS Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 114 frontline employees who took The Breakroom Quiz

40th of 245 rated social care providers


Job description


Hospice Physician Audit Reviewerwill have experience supporting external government record requests by preparing chart summaries and expert testimony at administrative hearings as needed. In addition, although this position's responsibilities will usually be conducted from their home office, this role is also involved in travel to provider locations to provide in-person trainings and partner with program support initiatives as needed. Work remote.
Experience:
  • The medical review physician should review the documentation submitted and identify the following content that support's the patient's appropriateness, including any higher level of care billed, if applicable: clinical history and physical findings, documentation of functional status and symptoms, and pertinent changes in plans of care.
  • The medical review physician should review certification / recertification worksheets and narratives, plans of care review, and interdisciplinary team notes to ensure that they collectively reflect and support the patient's hospice benefit appropriateness. Where there are inconsistencies or omissions, the physician should provide explanation or suggest correction.
  • The medical review physician should prepare a summary (demographics, time of admission, course of care under review, disposition, statement of eligibility) outlining the patient's hospice benefit appropriateness and focus on bringing the claim reviewer's attention to the specific documentation that supports the patient's hospice eligibility, as well as any additional supportive documentation that may be added at the time of the appeal. Where appropriate, the medical review physician should reference evidence based guidelines or journal articles.
  • If a detailed claim denial explanation was provided in the claim review summary, the medical review physician should: 1. Verify whether the claim denial code is legitimate for the level of care on date(s) in contention, 2. Identify if there are discrepancies between the claim review explanation and supporting documentation, 3. Address each claim denial reason with the necessary explanation and supportive documentation, 4. Identify whether there are additional chart documents not included in the first submission that establish hospice appropriateness.
  • The chart review note submitted by medical review physician in preparation for submission of appeal, should summarize findings recorded elsewhere in the record and not conflict with daily progress notes. New information should be supported by additional documentation that has been accessed from the chart.
  • Performs related duties as required. This position description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.

Education:
  • Board eligible / certified in Hospice and Palliative Medicine, Family Medicine, Internal Medicine, or other related specialty with a working knowledge of the principles of palliative medicine and symptom management.
  • Completion of designated application and verification of credentials and qualifications.

Certification & Licensure:
  • Licensed to practice medicine or osteopathy in the state in which the program is operating.

Physical Requirements:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
SPECIAL INSTRUCTIONS TO CANDIDATES
  • EOE/AA M/F/D/V

What VITAS Healthcare employees say

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About VITAS Healthcare

Sourced by ZipRecruiter

VITAS Healthcare, located in Miami, FL, US, is a pioneer in the American healthcare industry, specifically within the realm of hospice care and palliative services. The company began its operations in 1978 under the visionaries Hugh Westbrook and Esther Colliflower,both social workers, who identified the need for compassionate end-of-life care. Recognizing the dire need to fill the void in hospice care, they established VITAS Healthcare with the mission to provide patients experiencing end-of-life stages with high-quality care, demonstrating respect for every individual's decisions and maintaining a supportive environment for both the patients and their loved ones. A noteworthy achievement of VITAS is that it was the first organization to have its hospice program licensed in Florida prompting a nationwide shift in the way end-of-life care services were handled.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US

Year founded

1978