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Remote Medical Reviewer Jobs in Virginia (NOW HIRING)

VENESCO, LLC

Medical Coder

Falls Church, VA · On-site +1

$20 - $26.75/hr

Remote/Hybrid Job Type: Full-Time Position Overview: Venesco is seeking a detail-oriented Medical ... trial data Review case report forms (CRFs) for accuracy Maintain coding conventions and ...

micro1 AI

Medical Billing Specialist

Richmond, VA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

micro1 AI

Medical Writing Manager

Virginia Beach, VA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

micro1 AI

Medical Billing Specialist

Norfolk, VA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

micro1 AI

Medical Writing Manager

Newport News, VA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

micro1 AI

Medical Writing Manager

Alexandria, VA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

micro1 AI

Medical Billing Specialist

Virginia Beach, VA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

micro1 AI

Medical Writing Manager

Chesapeake, VA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

micro1 AI

Medical Billing Specialist

Newport News, VA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

Sentara Healthcare

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site +1

Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ... For positions that are available as remote work, Sentara Health employs associates in the following ...

micro1 AI

Medical Writing Manager

Roanoke, VA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

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Remote Medical Reviewer information

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How much do remote medical reviewer jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote medical reviewer in Virginia is $41.70, according to ZipRecruiter salary data. Most workers in this role earn between $22.64 and $53.61 per hour, depending on experience, location, and employer.

What is a remote medical reviewer?

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.

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

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.

What are some common challenges faced by remote medical reviewers and how can they be addressed?

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.

How to become a remote medical reviewer?

To become a remote medical reviewer, candidates typically need a medical degree such as MD or DO, along with clinical experience in a relevant specialty. Strong analytical skills, attention to detail, and familiarity with medical records and documentation are essential, and some positions may require certification or licensure in the relevant state or country. Proficiency with electronic health records (EHR) systems and the ability to work independently are also important for remote roles.

What are the most commonly searched types of Medical Reviewer jobs in Virginia?

The most popular types of Medical Reviewer jobs in Virginia are:

What are popular job titles related to Remote Medical Reviewer jobs in Virginia?

For Remote Medical Reviewer jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Remote Medical Reviewer jobs in Virginia look for?

The top searched job categories for Remote Medical Reviewer jobs in Virginia are:

What cities in Virginia are hiring for Remote Medical Reviewer jobs?

Cities in Virginia with the most Remote Medical Reviewer job openings:

Remote Medical Reviewer jobs near you
Infographic showing various Remote Medical Reviewer job openings in Virginia as of August 2026, with employment types broken down into 67% Full Time, 13% Part Time, 7% Temporary, and 13% Contract. Highlights an 100% Remote job distribution, with an average salary of $86,726 per year, or $41.7 per hour.

Remote Cardiology, Physician Clinical Reviewer

Evolent

Arlington, VA • On-site, Remote

Other

Re-posted yesterday

Evolent rating

8.4

Company rating: 8.4 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

73rd of 500 rated business services

Job description

As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes.



Collaboration Opportunities:  


  • Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. As well as, aids and acts as a resource to Initial Clinical Reviewers.



What You Will Be Doing:


  • Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert.

  • Provides clinical rationale for standard and expedited appeals.

  • Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request.

  • Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines.

  • Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner.

  • Participates in on-going training per inter-rater reliability process.

  • May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support.

  • On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director.



Qualifications - Required and Preferred:


  • MD/DO/MBBS Degree

  • Current, unrestricted clinical license in medicine or required specialty

  • Obtaining and maintaining medical licenses in the state you reside, as well as, other state licensure required per business needs

  • Active Board Certification in Cardiology, Vascular Surgery or Adult Congenital Heart Disease

  • Strong clinical, management, communication, and organizational skills

  • Energetic and curious with a passion for quality and value in health care

  • Computer Proficiency

  • Minimum of five (5) years’ experience in the practice of Cardiology is preferred

  • Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an “excluded person” by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare.

  • No history of a major disciplinary or legal action by a state medical board

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