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Remote Medical Reviewer Jobs in Rochester, NY (NOW HIRING)

Lancesoft INC

Nurse Practitioner

Rochester, NY · Remote

$40 - $44.44/hr

Review participant medical information to determine eligibility based on study inclusion and exclusion criteria. * Conduct remote/telemedicine -based participant assessments as required by study ...

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Mvphealthcare

Concurrent Review - RN

Rochester, NY · Remote

$69K - $92K/yr

Reviews complex cases with individual providers or leader and the MVP Senior Medical Leaders. * Knows and interprets the MVP contract, riders, policies and procedures. Whereyou'llbe: Location: Remote ...

Deloitte

Hospital Billing Operator

Rochester, NY · Remote

$18 - $23.25/hr

As an Epic Hospital Billing Analyst, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role ...

Athena

Remote Psychotherapist

Rochester, NY · Remote

$50K - $100K/yr

Medical, Dental, and Vision Insurance (for FT employees) * Additional Bonuses for Working Weekend ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Cybercoders

Tax

Canandaigua, NY · On-site +1

$85K - $110K/yr

Hybrid Remote Schedule outside of Rochester,NY + 5 other NY locations Salary: $85k-110k + OT Pay ... Exp. Reviewing a mix of entities (1040s, 1041s, 1065, 1120S, 1120, 990s) Preferred: * Strong ...

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Remote Medical Reviewer information

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$11

$41

$99

How much do remote medical reviewer jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for remote medical reviewer in Rochester, NY is $41.50, according to ZipRecruiter salary data. Most workers in this role earn between $22.55 and $53.37 per hour, depending on experience, location, and employer.

What is a Remote Medical Reviewer job?

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 in the Remote Medical Reviewer position, and why are they important?

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.

What are popular job titles related to Remote Medical Reviewer jobs in Rochester, NY? For Remote Medical Reviewer jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Remote Medical Reviewer jobs in Rochester, NY look for? The top searched job categories for Remote Medical Reviewer jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Remote Medical Reviewer jobs? Cities near Rochester, NY with the most Remote Medical Reviewer job openings:
Remote Medical Reviewer jobs near you
Infographic showing various Remote Medical Reviewer job openings in Rochester, NY as of July 2026, with employment types broken down into 67% Full Time, 19% Part Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $86,310 per year, or $41.5 per hour.
Med Records Coder IV, Complex

Med Records Coder IV, Complex

University of Rochester

Rochester, NY • Remote

$25.14 - $35.24/hr

Full-time

Re-posted 6 days ago

University Of Rochester rating

8.4

Company rating: 8.4 out of 10

Based on 183 frontline employees who took The Breakroom Quiz

81st of 555 rated colleges and universities

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

Remote Work - New York, Albany, New York, United States of America, 12224

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910503 United Business Office Coding

Work Shift:

UR - Day (United States of America)

Range:

UR URG 108 H

Compensation Range:

$25.14 - $35.24

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

The Medical Coder IV, Complex functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation for multiple specialties and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.

ESSENTIAL FUNCTIONS

  • Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines.
  • Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
  • Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed.
  • Responds to coding information requests from various sources. Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
  • Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
  • Other duties as assigned


MINIMUM EDUCATION & EXPERIENCE

  • HS Diploma
  • Associates degree in Health Information Technology or health related field, preferred
  • 3 years' experience as Medical Coder
  • Additional coding experience in area of assignment, preferred
  • or equivalent combination of education and experience


KNOWLEDGE, SKILLS AND ABILITIES

  • Knowledge of ICD-10CM, CPT and HCPSC
  • Working knowledge of medical terminology and anatomy


LICENSES AND CERTIFICATIONS (preferred)

  • Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS).
  • Or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute.

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status,or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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