2

Remote Utilization Review Jobs in Memphis, TN (NOW HIRING)

Test AI performance against custom-built scenarios and refine tasks based on quality reviews and ... utilization management, patient access, compliance, or related healthcare administrative ...

Utility Sales Support

MS · Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

Utility Sales Support

Byhalia, MS · Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

Remote Utilization Review information

See Memphis, TN salary details

$20

$41

$67

How much do remote utilization review jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for remote utilization review in Memphis, TN is $41.08, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $47.16 per hour, depending on experience, location, and employer.

What is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What are the most commonly searched types of Utilization Review jobs in Memphis, TN?

The most popular types of Utilization Review jobs in Memphis, TN are:

What cities near Memphis, TN are hiring for Remote Utilization Review jobs?

Cities near Memphis, TN with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in Memphis, TN as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $85,437 per year, or $41.1 per hour.

Remote Medical Coder

Memphis, TN • On-site, Remote

Aston Carter
Recruiting and Staffing Services • 1 - 5K employees

$75/hr

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


Job description

Remote Medical Coder
Job Description
Assess and validate AI-generated content related to healthcare operations, ensuring responses are accurate, practical, and aligned with industry expectations. Provide well-written, expert responses to operational healthcare scenarios for use in model training and benchmarking. Analyze, score, and compare model outputs to support ongoing AI development and performance improvements.
Responsibilities
  • Identify inaccuracies, inconsistencies, or unclear recommendations within model-generated content and provide actionable feedback for improvement.
  • Create authentic healthcare operations use cases based on professional experience, including scenario design, supporting documentation, input datasets, and evaluation criteria.
  • Test AI performance against custom-built scenarios and refine tasks based on quality reviews and stakeholder feedback.
  • Adhere to project standards, documentation guidelines, and submission requirements with a high degree of accuracy and attention to detail.
  • Consistently deliver high-quality work while meeting productivity expectations throughout the duration of the engagement.

Essential Skills
  • Experience in medical billing, medical coding, and healthcare operations.
  • Proficiency in using artificial intelligence and large language models.
  • Strong written communication skills.
  • Bachelor's degree is required.
  • Coding certification (CPC, CCS, CCA) is preferred.

Additional Skills & Qualifications
  • Professional experience supporting healthcare operations, revenue cycle functions, health information management, utilization management, patient access, compliance, or related healthcare administrative environments.
  • Healthcare credentials such as CPC, CCS, RHIT, RHIA, or similar are beneficial but not required.
  • Exceptional written communication skills with the ability to convey technical or operational healthcare concepts in a clear, concise manner.
  • Recent direct involvement in day-to-day healthcare operations work, with experience operating as an individual contributor.
  • Strong attention to detail with the ability to interpret process documentation, apply feedback effectively, and maintain quality throughout iterative review cycles.
  • Comfortable using common workplace technologies, including cloud-based collaboration platforms, document management tools, software installations, and routine file-sharing and conversion processes.
  • Able to work independently in a remote setting while managing priorities, deadlines, and deliverables with minimal oversight.
  • Familiarity with generative AI technologies, large language models, and the evolving artificial intelligence landscape is preferred.

Work Environment
This position is 100% remote with flexible working hours. The role requires availability to support a project-based engagement averaging 30 to 40 hours per week over a 12-week period, with the possibility of extension. Must have citizenship and reside in a U.S. State to be eligible.
Job Type & Location
This is a Contract position based out of Memphis, TN.
Pay and Benefits
The pay range for this position is $75.00 - $75.00/hr.
Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Sep 8, 2026.
About Aston Carter
Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® Platinum Award winner for both client and talent service.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Aston Carter logo

About Aston Carter

Sourced by ZipRecruiter

At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless. Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Hanover, MA, US