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Remote Medical Review Physician Jobs (NOW HIRING)

Managed Medical Review Organization

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 ...

MedWatch

Medical Review Specialist / RN

Lake Mary, FL · Remote

$61K - $68K/yr

MedWatch does not routinely require hospitals, physicians, and providers to numerically code ... If the Medical Review Specialist is unable to certify the requested outpatient procedure with the ...

New

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... We are currently seeking Board-Certified Occupational Medicine or Preventative Medicine Physicians ...

MedWatch, LLC

Medical Review Specialist / RN

Lake Mary, FL · On-site +1

$61K - $68K/yr

MedWatch does not routinely require hospitals, physicians, and providers to numerically code ... If the Medical Review Specialist is unable to certify the requested outpatient procedure with the ...

New

Aston Carter

Remote Medical Coder

Memphis, TN · On-site +1

$75/hr

Remote Medical Coder Assess and validate AI-generated content related to healthcare operations ... Test AI performance against custom-built scenarios and refine tasks based on quality reviews and ...

Aston Carter

Remote Medical Coder

Fort Worth, TX · On-site +1

$75/hr

Remote Medical Coder Assess and validate AI-generated content related to healthcare operations ... Test AI performance against custom-built scenarios and refine tasks based on quality reviews and ...

Aston Carter

Remote Medical Coder

Jacksonville, FL · On-site +1

$75/hr

Remote Medical Coder Assess and validate AI-generated content related to healthcare operations ... Test AI performance against custom-built scenarios and refine tasks based on quality reviews and ...

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Remote Medical Review Physician information

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$97.5K

$217.4K

$350K

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

As of Sep 7, 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.
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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:

What job categories do people searching Remote Medical Review Physician jobs look for?

The top searched job categories for Remote Medical Review Physician jobs are:

Remote Medical Review Physician jobs near you
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, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $217,445 per year, or $104.5 per hour.

Medical Reviewer (Radiologist) - Remote CA

Gainwell Technologies

West Sacramento, CA • Remote

$150K - $175K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 16 days ago

Gainwell Technologies rating

7.9

Company rating: 7.9 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

130th of 247 rated software companies

Job description

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

Gainwell Technologies is seeking a Medical Reviewer (Radiologist) to provide physician-level radiology expertise supporting Medical Review Services for California healthcare programs. In this role, you will review radiology-related claims, Treatment Authorization Requests (TARs), medical records, and supporting clinical documentation to help ensure services meet applicable medical necessity, coverage, and program requirements.

Your role in our mission
  • Review radiology-related claims, Treatment Authorization Requests (TARs), medical records, and supporting clinical documentation.
  • Evaluate imaging and radiology services based on applicable medical policies, coverage requirements, and clinical standards.
  • Provide physician-level medical review and clinical expertise for complex radiology cases.
  • Support medical necessity and appropriateness determinations for requested or billed radiology services.
  • Document review findings, decisions, and supporting clinical rationale clearly and accurately.
  • Refer or collaborate on cases requiring additional clinical expertise when appropriate.
  • Collaborate with physicians, nurses, other clinical specialists, operations teams, and business partners.
  • Maintain knowledge of applicable radiology standards, medical policies, coverage requirements, and regulatory guidelines.
  • Meet established quality, accuracy, productivity, and turnaround-time expectations.
What we're looking for
  • Minimum of three (3) years of experience as a Radiologist in a private, academic, or government setting.
  • Current, non-expired physician license from the State of California, in good standing.
  • Must not be under suspension from Medicare, Medicaid, or practice in California.
  • Must not have been previously sanctioned for fraud or abuse.
  • Strong oral and written communication skills.
  • Strong clinical judgment and ability to interpret complex radiology-related medical records and supporting documentation.
What you should expect in this role
  • Full-time position.
  • Remote work environment.
  • Monday through Friday work schedule.
  • Work primarily from your home office while supporting Medical Review Services for California healthcare programs.
  • Spend the majority of your day reviewing radiology-related medical records, claims, authorization requests, imaging documentation, and supporting clinical information.
  • Work independently while collaborating with physicians, nurses, other clinical specialists, operations teams, and business partners.
  • Navigate multiple computer systems and applications to complete reviews, document findings, and support timely determinations.
  • Maintain all professional licenses, certifications, and credentials required for the position in active, unrestricted, and good-standing status.
  • Maintain knowledge of applicable medical policies, coverage requirements, radiology standards, and regulatory guidelines.
  • Meet established quality, accuracy, productivity, and turnaround-time expectations.
  • Receive ongoing training and support related to program requirements, systems, policies, and medical review processes.

This position is being posted for pipeline purposes, and we welcome applications on an ongoing basis.

#LI-REMOTE

#LI-MA1

The pay range for this position is $150,000 - $175,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

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Hours and flexibility

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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