About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Flexible, remote contract opportunity. * Set your own schedule and case volume. * Collaborate with ...
Quick apply
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Flexible, remote contract opportunity. * Set your own schedule and case volume. * Collaborate with ...
Quick apply
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Flexible, remote contract opportunity. * Set your own schedule and case volume. * Collaborate with ...
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Flexible, remote contract opportunity. * Set your own schedule and case volume. * Collaborate with ...
Quick apply
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Flexible, remote contract opportunity. * Set your own schedule and case volume. * Collaborate with ...
$20 - $75/hr
Our medical reviewers ensure the accuracy of information like symptoms and treatments of a ... Remote (United States)
$20 - $75/hr
Our medical reviewers ensure the accuracy of information like symptoms and treatments of a ... Remote (United States)
This role is a project-based consulting opportunity to conduct medical reviewing on an as-needed basis. This is not a full-time position. Roles & Responsibilities * Provide medical expertise on ...
This role is a project-based consulting opportunity to conduct medical reviewing on an as-needed basis. This is not a full-time position. Roles & Responsibilities * Provide medical expertise on ...
$65K - $75K/yr
Overview Medicare Medical Review RN (Medical Reviewer III) - REMOTE The Medicare Medical Review RN (Medical Reviewer III) will primarily be responsible for conducting clinical reviews of medical ...
$65K - $75K/yr
Overview Medicare Medical Review RN (Medical Reviewer III) - REMOTE The Medicare Medical Review RN (Medical Reviewer III) will primarily be responsible for conducting clinical reviews of medical ...
As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for Diagnosis ...
As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for Diagnosis ...
As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for Diagnosis ...
As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for Diagnosis ...
As a casual Medical Review Specialist III (Medical Reviewer III) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for ...
As a casual Medical Review Specialist III (Medical Reviewer III) for Empower AI, Inc., you will perform Medicare comprehensive medical record and claims review to make payment determinations for ...
Be Seen First
OR · Remote
$125 - $150/hr
We are seeking an experienced Director, Medical Reviewer, Contractor, to support our Client ... Ability to work independently in a remote environment while collaborating with global, cross ...
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Be Seen First
OR · Remote
$125 - $150/hr
We are seeking an experienced Director, Medical Reviewer, Contractor, to support our Client ... Ability to work independently in a remote environment while collaborating with global, cross ...
As a casual Medical Review Specialist III (Medical Reviewer III) you will primarily perform Medicare comprehensive medical record and claims review to make payment determinations for Medicare PART A.
As a casual Medical Review Specialist III (Medical Reviewer III) you will primarily perform Medicare comprehensive medical record and claims review to make payment determinations for Medicare PART A.
Sacramento, CA · Remote
$60/hr
Remote, Nationwide - Seeking Medical Content Reviewer Everybody Has A Role To Play In Accelerating Healthcare Innovation If you want to be part of changing healthcare to better serve patients, you ...
Sacramento, CA · Remote
$60/hr
Remote, Nationwide - Seeking Medical Content Reviewer Everybody Has A Role To Play In Accelerating Healthcare Innovation If you want to be part of changing healthcare to better serve patients, you ...
Chicago, IL · On-site +1
Position Overview Remote Description: Evaluates clinical service requests made by an organization ... Participates in the Physician Review Units' appeal process of service denials. Participates in the ...
Chicago, IL · On-site +1
Position Overview Remote Description: Evaluates clinical service requests made by an organization ... Participates in the Physician Review Units' appeal process of service denials. Participates in the ...
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Flexible, remote contract opportunity. * Set your own schedule and case volume. * Collaborate with ...
Quick apply
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Flexible, remote contract opportunity. * Set your own schedule and case volume. * Collaborate with ...
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Flexible, remote contract opportunity. * Set your own schedule and case volume. * Collaborate with ...
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Flexible, remote contract opportunity. * Set your own schedule and case volume. * Collaborate with ...
$19.25 - $24.25/hr
... Medical Coder to join our healthcare consulting practice. The role is fully remote within the US ... Review and respond to each audit within set time window, with corrections made immediately after ...
$19.25 - $24.25/hr
... Medical Coder to join our healthcare consulting practice. The role is fully remote within the US ... Review and respond to each audit within set time window, with corrections made immediately after ...
Remote (with occasional U.S. domestic travel for in-person evaluations, as needed) Schedule: As ... Review medical records, provider statements, diagnostic findings, and functional assessments ...
Remote (with occasional U.S. domestic travel for in-person evaluations, as needed) Schedule: As ... Review medical records, provider statements, diagnostic findings, and functional assessments ...
Carolina, RI · On-site +1
... remote after 1-2 weeks of on-site training in Columbia, SC. The candidate will be required to ... Performs medical claim reviews for one or more of the following: claims for medically complex ...
Carolina, RI · On-site +1
... remote after 1-2 weeks of on-site training in Columbia, SC. The candidate will be required to ... Performs medical claim reviews for one or more of the following: claims for medically complex ...
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Flexible, remote contract opportunity. * Set your own schedule and case volume. * Collaborate with ...
Quick apply
About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Flexible, remote contract opportunity. * Set your own schedule and case volume. * Collaborate with ...
Lansing, MI · On-site +1
$20.35 - $28.81/hr
The Medical Benefit Reviewer is responsible for reviewing and resolving system edits on pended ... Lansing, MI 48933. Based on operational needs and within established limits, remote work and ...
Lansing, MI · On-site +1
$20.35 - $28.81/hr
The Medical Benefit Reviewer is responsible for reviewing and resolving system edits on pended ... Lansing, MI 48933. Based on operational needs and within established limits, remote work and ...
Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity PsyPhyCare is seeking Medical Case Reviewers to support a federal healthcare program focused on evaluating vaccine- and ...
Remote Medical Case Reviewer (Contract) Location: Remote About the Opportunity PsyPhyCare is seeking Medical Case Reviewers to support a federal healthcare program focused on evaluating vaccine- and ...
$11.78 - $19.84
14% of jobs
$24.28 is the 25th percentile. Wages below this are outliers.
$19.84 - $27.91
21% of jobs
The median wage is $32.08 / hr.
$27.91 - $35.97
30% of jobs
$35.97 - $44.03
9% of jobs
$46.72 is the 75th percentile. Wages above this are outliers.
$44.03 - $52.10
3% of jobs
$52.10 - $60.16
13% of jobs
$60.16 - $68.23
1% of jobs
$68.23 - $76.29
4% of jobs
$76.29 - $84.35
0% of jobs
$84.35 - $92.42
0% of jobs
$92.42 - $100.48
5% of jobs
$11
$42
$100
A Remote Medical Reviewer evaluates medical records, claims, or cases to ensure accuracy, compliance, and appropriate medical decision-making. They typically work for insurance companies, healthcare organizations, or third-party review agencies. This role involves analyzing documentation, applying clinical guidelines, and providing recommendations based on medical expertise. It requires a background in healthcare, such as nursing or medicine, along with strong analytical and communication skills. The job is performed remotely, allowing flexibility while maintaining high standards of medical review.
A Remote Medical Reviewer requires a strong background in healthcare, such as a nursing or pharmaceutical degree, along with in-depth knowledge of clinical guidelines and regulatory standards. Familiarity with electronic medical record (EMR) systems, coding software, and industry certifications like RHIA or CCS is often necessary. Exceptional attention to detail, analytical thinking, and clear written communication are vital soft skills for this role. These competencies ensure accurate and timely medical review decisions that impact patient care and regulatory compliance.
Remote Medical Reviewers often encounter challenges such as reviewing complex cases with limited background information and keeping up with frequent updates to medical regulations and insurance policies. Staying organized, participating in continuing education, and leveraging robust digital communication tools can help you overcome these obstacles. You'll also need to be self-motivated and comfortable working independently, as remote teams often collaborate primarily through virtual meetings and secure documentation platforms. Embracing strong time management practices and regularly connecting with colleagues for case discussions can greatly enhance your job performance and satisfaction.

Contractor
Posted 24 days ago
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LOMYM0aORc
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Public administration
51 - 200 Employees
Novi, MI, US
2007