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Remote Physician Reviewer Jobs (NOW HIRING)

Participates in the Physician Review Units' appeal process of service denials. Participates in the ... Notes: Position does not provide direct patient care or medical diagnosis.) Remote 20 - 40 hours ...

This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced, data-driven environment. In this role, you will ...

This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced, data-driven environment. In this role, you will ...

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Remote Physician Reviewer information

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$74

$119

How much do remote physician reviewer jobs pay per hour?

As of Jul 3, 2026, the average hourly pay for remote physician reviewer in the United States is $74.38, according to ZipRecruiter salary data. Most workers in this role earn between $48.08 and $91.11 per hour, depending on experience, location, and employer.

What are some common challenges faced by remote physician reviewers, and how can they be effectively managed?

Remote physician reviewers often face challenges such as managing a high volume of case reviews, ensuring timely and accurate documentation, and maintaining clear communication with healthcare teams. Balancing workload while adhering to strict deadlines can be demanding, especially when working independently. To manage these challenges, it's important to establish a structured daily routine, utilize secure electronic health record systems efficiently, and stay proactive in seeking clarification or collaboration with colleagues when needed.

What is the difference between Remote Physician Reviewer vs Remote Medical Coder?

AspectRemote Physician ReviewerRemote Medical Coder
Required CredentialsMedical degree, medical license, clinical experienceCertification in coding (CPC, CCS), training in medical coding
Work EnvironmentHealthcare organizations, insurance companies, telehealth platformsHospitals, billing companies, insurance firms, remote offices
Industry UsageReviewing medical records, determining medical necessityTranslating medical reports into billing codes
Search & Comparison IntentUnderstanding clinical review roles, credential requirementsUnderstanding coding responsibilities, certification needs

Remote Physician Reviewers focus on evaluating medical records and determining medical necessity, requiring clinical credentials and medical licenses. Remote Medical Coders translate medical documentation into billing codes, requiring coding certifications. Both roles are remote healthcare positions but serve different functions within the industry.

What is a Remote Physician Reviewer?

A Remote Physician Reviewer is a licensed medical doctor who evaluates medical records, claims, or treatment plans from a remote location, typically for insurance companies, healthcare organizations, or government programs. Their main role is to ensure that medical decisions comply with clinical guidelines and regulatory standards without direct patient interaction. They review documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services. This position allows physicians to leverage their clinical expertise in a non-clinical, flexible work environment. Remote Physician Reviewers often communicate their findings through written reports or recommendations.

What Does a Remote Physician Reviewer Do?

As a remote physician reviewer, your job is to support an insurance company and evaluate patient records to determine whether or not a physician is regularly making good treatment decisions. In this role, you may check health plans to determine whether or not they cover the requested treatments, help process claims, and examine case files to ensure all relevant information is available. This is a remote job, so you can work from home and telecommute when you need to contact others. Remote physician reviewers frequently use critical thinking skills, suggest alternative treatments, and verify the accuracy of information added to the case management system.

What are the key skills and qualifications needed to thrive as a Remote Physician Reviewer, and why are they important?

To thrive as a Remote Physician Reviewer, you need an active medical license, board certification in your specialty, and thorough knowledge of clinical guidelines and medical terminology. Familiarity with utilization management software, electronic health records (EHRs), and secure telecommunication platforms is essential. Strong analytical skills, attention to detail, and clear written communication set outstanding candidates apart. These abilities ensure accurate, timely clinical reviews and effective collaboration with healthcare teams, supporting quality patient care and regulatory compliance.
What cities are hiring for Remote Physician Reviewer jobs? Cities with the most Remote Physician Reviewer job openings:
What are the most commonly searched types of Physician Reviewer jobs? The most popular types of Physician Reviewer jobs are:
What states have the most Remote Physician Reviewer jobs? States with the most job openings for Remote Physician Reviewer jobs include:
Infographic showing various Remote Physician Reviewer job openings in the United States as of June 2026, with employment types broken down into 68% Full Time, 16% Part Time, and 16% Contract. Highlights an 100% Remote job distribution, with an average salary of $154,712 per year, or $74.4 per hour.
Physician Reviewer

Physician Reviewer

VIVA USA INC

Chicago, IL โ€ข On-site, Remote

Contractor

Posted 29 days ago


Job 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.
Notes:
Position does not provide direct patient care or medical diagnosis.)
Remote
20 - 40 hours/week and possible 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.