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Remote Medical Reviewer Jobs (NOW HIRING)

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited ... Why Partner with MMRO? * 100% remote independent contractor opportunity * Flexible scheduling with ...

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 ...

Empower AI Inc.

Medical Reviewer III (Medicare/DRG)

$28.38/hr

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 ...

Empower AI

Medical Reviewer III (Medicare/DRG)

$28.38/hr

Medical Review Specialist III (Medicare DRG) Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation.

Empower AI Inc.

Medical Reviewer III (Medicare/DRG)

$28.38/hr

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 ...

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 ...

Empower AI Inc.

Medical Reviewer III (Medicare/DRG)

$28.38/hr

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 ...

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 ...

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How much do remote medical reviewer jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for remote medical reviewer in the United States is $42.06, according to ZipRecruiter salary data. Most workers in this role earn between $22.84 and $54.09 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.
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Remote Medical Reviewer jobs near you
Infographic showing various Remote Medical Reviewer 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 $87,476 per year, or $42.1 per hour.

Medical Reviewer (Podiatrist) - Remote CA

Gainwell Technologies LLC

West Sacramento, CA • Remote

$110K - $130K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 10 days ago

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 83 frontline employees who took The Breakroom Quiz

138th 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 (Podiatrist) to provide professional podiatric expertise supporting Medical Review Services for California healthcare programs. In this role, you will review podiatry-related medical records, claims, Treatment Authorization Requests (TARs), and supporting clinical documentation to help ensure services meet applicable clinical, coverage, and program requirements.

Your role in our mission
  • Review podiatry-related medical records, claims, Treatment Authorization Requests (TARs), and supporting clinical documentation.
  • Evaluate requested podiatric services against applicable coverage requirements, medical policies, and clinical standards.
  • Apply professional podiatric expertise and clinical judgment when reviewing medical necessity and appropriateness of services.
  • Review treatment plans and supporting documentation for requested services.
  • Document clinical findings, review decisions, and supporting rationale accurately and timely.
  • Refer cases requiring additional clinical review to appropriate medical professionals when needed.
  • Collaborate with physicians, nurses, other clinical specialists, operations teams, and business partners to resolve review questions.
  • Maintain knowledge of applicable podiatric standards, medical policies, coverage requirements, and regulatory guidelines.
  • Meet established quality, accuracy, productivity, and turnaround-time expectations.
What we're looking for
  • One (1) year of experience working in a variety of clinical settings, ranging from general podiatry services to working with a multi-professional team, is preferred.
  • Doctorate or Diploma in Podiatric Medicine, or Diploma in Chiropody.
  • Current California State license to practice Podiatry, in good standing.
  • Strong clinical judgment and ability to interpret medical records, treatment plans, and supporting clinical documentation.
  • Ability to work effectively with multidisciplinary healthcare teams.
  • Strong written and verbal communication skills.
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 podiatry-related medical, clinical, claim, authorization, treatment plan, and supporting documentation.
  • 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, as applicable.
  • Maintain knowledge of applicable medical policies, coverage requirements, podiatric 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.
  • Travel requirement: 0-10%.

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 $110,000 - $130,000 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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Benefits

Hours and flexibility

Workplace

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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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