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Remote Medical Reviewer Jobs (NOW HIRING)

VIVA USA INC

Physician Medical Reviewer

Chicago, IL · On-site +1

Remote Description: Evaluates clinical service requests made by an organization's members and ... Participates in the Physician Review Units' appeal process of service denials. Participates in the ...

VIVA

Physician Medical Reviewer

Remote Description: Evaluates clinical service requests made by an organization's members and ... Participates in the Physician Review Units' appeal process of service denials. Participates in the ...

Integrated Management Strategies LLC

Remote Medical Coder

$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 ...

FEFA, LLC

Remote Medical Assistant

Las Cruces, NM · Remote

$15 - $18/hr

Remote Quality Review Medical Assistant - Support Veterans' Disability Claims Looking for short-term contract work where your medical assistant background actually means something? This 3-month ...

New

InGenesis

LPN / Medical Reviewer / Remote

$26.25 - $35.75/hr

LPN / Medical Reviewer / Remote Job Details Professional Discipline : LPN/LVN Specialty : Administrative Employment Type : Full Time City : Columbia State : SC Pay Range : LPN / Medical Reviewer ...

Managed Medical Review Organization

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 ...

Apply Early

CEI

LPN/Medical Reviewer - Remote

Columbia, SC · Remote

$22.25 - $30.25/hr

... fully remote Must have an active LPN License. M-F 8-5 Pay 23/hr Description - * Performs medical reviews using established criteria sets and/or performs utilization management of professional ...

Vituity

Medical Content Reviewer 2

$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 ...

TEKsystems

Remote Medical Records

Milwaukee, WI · Remote

$15/hr

Remote Medical Records Specialist Join a leading nationwide revenue cycle organization through ... Review medical records for eligibility and completeness. * Upload and organize documentation from ...

Healthfirst., Inc.

Medical Peer Reviewer

Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for ...

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How much do remote medical reviewer jobs pay per hour?

As of Jul 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 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.

More about Remote Medical Reviewer jobs
What cities are hiring for Remote Medical Reviewer jobs? Cities with the most Remote Medical Reviewer job openings:
What are the most commonly searched types of Medical Reviewer jobs? The most popular types of Medical Reviewer jobs are:
What states have the most Remote Medical Reviewer jobs? States with the most job openings for Remote Medical Reviewer jobs include:
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Remote Medical Reviewer jobs near you
Infographic showing various Remote Medical Reviewer job openings in the United States as of June 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $87,476 per year, or $42.1 per hour.
Physician Medical Reviewer

Physician Medical Reviewer

VIVA USA INC

Chicago, IL • On-site, Remote

Contractor

Posted 24 days ago

Job description

Remote
Description:
Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member. Participates in the process to evaluate clinical service requests. Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit continuous quality improvement activities. Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases.
Note:
Position does not provide direct patient care or medical diagnosis.
Remote
20 - 40 hours/week and some weekend coverage (in a rotation)
Contract to Hire
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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