Remote Medical Reviewer Jobs in United States
Find remote medical reviewer jobs in United States. Browse flexible work-from-home medical reviewer positions from companies hiring in United States. Start your remote career today.
Physician Reviewer, Medical AI Evaluation
US-licensed physicians evaluating clinical EHR vignettes and reasoning quality for Mindrift’s medical AI projects. Flexible, task-based independent contractor work.
Physician Reviewer, Medical AI Evaluation
US-licensed physicians evaluating EHR clinical cases for Mindrift’s medical AI projects. Scoring diagnostic reasoning, answers, and distractors in flexible task-based work.
RN Medical Reviewer II
RN medical reviewer evaluating medical claims and coverage decisions for BlueCross South Carolina’s government-contract insurance operations. Applying clinical guidelines, documenting determinations, and educating staff.
Second Level Reviewer – Clinical Documentation Integrity
Clinical documentation integrity reviewer conducting compliant secondary chart reviews for Guidehouse healthcare clients. Validating diagnoses, DRGs and mortality documentation while coordinating coding education and quality initiatives.
RN Medical Reviewer II
Remote RN reviewing medical claims, medical necessity, and coverage decisions for BlueCross BlueShield of South Carolina’s healthcare administration operations. Guiding LPNs and educating staff.
RN Medical Reviewer II
RN medical reviewer evaluating complex claims, medical necessity, and coverage decisions for BlueCross BlueShield subsidiary Palmetto GBA. Remote home-office role supporting utilization review and coding operations.
RN Medical Reviewer II
RN medical reviewer evaluating complex claims, medical necessity, utilization, and coding for BlueCross BlueShield subsidiary Palmetto GBA. Remote home-office role supporting payment decisions, quality control, and staff education.
Medical Review Specialist
Medical Review Specialist reviewing medical bills, coding, and treatment necessity for Michigan workers’ compensation claims. Supporting insurers, adjusters, providers, and claimants through accurate reimbursement recommendations.
Clinical Reviewer
Clinical Reviewer evaluating Illinois Medicaid behavioral-health assessments for Maximus. Reviewing PASRR determinations, quality control, documentation, and service approvals remotely.
Utilization Management Clinical Reviewer
Utilization Management Clinical Reviewer managing high-acuity inpatient cases for Evernorth Health Services. Assessing medical necessity, coordinating safe transitions, and advocating for California members.
Medical Reviewer – Laboratory Specialist
Medical Reviewer evaluating laboratory claims, authorizations, and documentation for Gainwell Technologies’ California healthcare programs. Applying laboratory expertise to support accurate medical necessity and coverage determinations.
Medical Reviewer, Laboratory Specialist
Medical laboratory reviewer supporting Gainwell’s California healthcare programs. Reviewing claims, authorizations, and documentation for coverage, medical necessity, and compliance.
Medical Reviewer – Durable Medical Equipment Specialist
Medical Reviewer evaluating DME claims, authorizations, and documentation for Gainwell’s California healthcare programs. Ensuring medical necessity, coverage, billing, and program compliance.
Medical Reviewer – Speech and Audiology Specialist
Medical Reviewer applying speech, language, and audiology expertise to California healthcare claims and authorizations. Supporting medical necessity decisions for Gainwell Technologies’ healthcare programs.
Medical Reviewer, Radiologist
Radiologist reviewing California radiology claims, medical records, and authorization requests for Gainwell Technologies. Supporting medical necessity determinations for healthcare programs.
Medical Reviewer – Prosthetic and Orthotic Devices Specialist
Medical Reviewer evaluating prosthetic and orthotic device claims for Gainwell’s California healthcare programs. Reviewing medical necessity, coverage, authorizations, and supporting documentation.
Medical Reviewer, Podiatrist
Podiatrist reviewing medical records, claims, and treatment authorizations for Gainwell Technologies’ California healthcare programs. Applying clinical judgment to medical necessity and coverage decisions.
Medical Reviewer, Registered Nurse
Medical Reviewer (Registered Nurse) reviewing California healthcare records, claims, and authorizations for Gainwell Technologies. Determining medical necessity and supporting healthcare program compliance remotely.
Medical Reviewer – Physical Therapist
Medical Reviewer evaluating physical therapy records, claims, and authorizations for Gainwell Technologies’ California healthcare programs. Supporting clinical necessity and coverage determinations remotely.
Medical Reviewer, Optometrist
Medical Reviewer applying optometric expertise to California healthcare claims, records, and authorizations. Supporting medical necessity determinations for Gainwell Technologies’ healthcare programs.