Remote Reviewer Jobs in the US

Find remote reviewer opportunities with fresh hourly updates. Open to US candidates.

Updated hourlyLast updated: 8:00 PM EDT

Total jobs today

Added in last hour

Companies hiring now

55 jobs found

Strict location onlyShow closed jobs

Post Date

Minimum Salary

Experience

55 Jobs

25 Companies

DRG Reviewer

Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Reviewer1 day ago

Full Time Remote SeniorTeam 10,001+Since 1984H1B No Sponsor

Company Site LinkedIn

• Responsible for independently conducting comprehensive reviews of MS-DRG and APR-DRG coding and clinical documentation to ensure the accuracy of DRG assignment and reimbursement. • Requires advanced expertise in ICD-10-CM/PCS coding and the ability to exercise discretion and professional judgment in assessing complex clinical information, validating diagnosis code assignments, and identifying discrepancies such as coding errors or upcoding. • Operates with significant autonomy in supporting DRG validation reviews and appeals, interpreting regulatory requirements, and making authoritative decisions to ensure compliance with all applicable laws, payer contracts, and organizational policies. • Independently conducts comprehensive MS-DRG and APR-DRG coding and clinical validation reviews, exercising professional judgment to verify ICD-10-CM/PCS assignments, validate clinical diagnoses, identify discrepancies, and apply inpatient reimbursement rules without direct supervision. • Collaborates with the Medical Director on complex cases, providing expert recommendations and influencing review outcomes to ensure clinical accuracy and compliance. • Leads the evaluation of complex cases and proactively identifies opportunities to develop medical policy in the absence of established guidelines, demonstrating discretion and authority in decision-making. • Applies advanced knowledge of coding guidelines and clinical policies throughout the review process, making autonomous determinations regarding coding accuracy and regulatory compliance. • Prepares clear, concise, and well-supported audit findings, referencing authoritative sources such as AHA Coding Clinic and ICD-10 guidelines, approved Centene policies, and adopted clinical guidelines, ensuring recommendations reflect professional expertise. • Evaluates claims and medical records for compliance with state and federal regulations, payer contracts, and company policies, exercising independent judgment in interpreting requirements and resolving ambiguities. • Consistently meets or exceeds established quality and productivity standards while managing priorities and workflow autonomously. • Contributes to strategic initiatives by assisting in the development of audit concepts, identifying new audit opportunities, and selecting claims for review, demonstrating leadership in shaping audit methodologies. • Performs other duties as assigned. Complies with all policies and standards.

View details: DRG Reviewer

United States

$70.1K - $126.2K / year

Apply

Seasonal Application Reviewer

The Ohio State University, Main Campus

Reviewer1 day ago

Part Time Remote SeniorTeam 1-10Since 1870H1B No Sponsor

Company Site LinkedIn

• Provide a holistic evaluation for domestic and international applications for undergraduate admission. • Review all application materials and make an admissions recommendation based on extensive training. • Attend and participate in monthly trainings and individual coaching sessions, and other meetings as needed during normal university business hours. • Enter recommendations for completed reviews into the review site on a weekly basis. • Ensure confidentiality and security of the admissions process, files, and university materials.

View details: Seasonal Application Reviewer

Ohio

$17 - $20 / hour

Apply

Utilization Reviewer, Behavioral Health

Northwestern Medicine

What makes us better, makes you better.

Reviewer6 days ago

Part Time Remote Mid LevelTeam 10,001+H1B No Sponsor

Company Site LinkedIn

• Responsible for utilization review calls within BHS, including precertification, continued stay review, discharge reviews, and retrospective reviews and appeals. • Works closely with business office staff, clinical staff, and physicians to advocate for BHS patients with insurance and managed care companies. • Communicates insurance input to physicians and clinical staff making discharge plans for patients. • Assists clinical staff with assessments as needed, primarily as in a back-up capacity. • Communicates daily with Utilization Review Coordinator, and as needed with business office and admissions staff to understand admissions and transfers, patient benefit information, and precertification status. • Understands health care benefit plan provisions and managed care contracting. • Communicates and coordinates efforts at appealing unfavorable utilization review decisions.

View details: Utilization Reviewer, Behavioral Health

Florida + 6 more

$37 - $52 / hour

Apply

HEDIS Nurse Reviewer – New England Region

Martin's Point Health Care

We are people caring for people.

Reviewer6 days ago

Full Time Remote SeniorTeam 501-1,000H1B No Sponsor

Company Site LinkedIn

• Performs clinical chart reviews and audits to ensure accuracy and compliance with HEDIS measures. • Develops reports to identify HEDIS care gaps and trends and works closely with providers to ensure the necessary services are provided and documented according to HEDIS requirements. • Assists in the coordination of outreach efforts to request, collect, and secure clinical documentation from individual providers or provider groups as indicated by individual HEDIS measure specifications. • Collaborates with health plan departments to identify HEDIS data sources and develop systems to capture this data in accordance with HEDIS technical specifications, such as supplemental databases. • Collaborates with data analysts and quality teams to support performance improvement. • Documents findings and recommends strategies to improve HEDIS measure performance. • Applies clinical expertise to identify and validate data discrepancies. • Educates non-clinical staff on HEDIS requirements and clinical relevance of data. • Corresponds with members and clinical providers to effectively coordinate care, obtain medical records, and ensure patients receive preventive and chronic disease management services.

View details: HEDIS Nurse Reviewer – New England Region

Maine

Apply

Title Reviewer

McCalla Raymer Leibert Pierce, LLC

Reviewer6 days ago

Full Time Remote Mid LevelTeam 201-500H1B No Sponsor

Company Site LinkedIn

• Preparing, reviewing, and filing legal documents • Managing foreclosure files and tracking case progress • Communicating with clients, courts, vendors and other outside parties in a courteous and effective manner. • Data entry, document processing, and file maintenance • Supporting attorneys and other team members with daily tasks • Ensuring compliance with state and federal regulations • Performing general administrative duties as needed • Developing and maintaining congenial relationships with business associates and clients. • Consistently and accurately updating the firm’s internal case management system, as well as all client systems. • Providing exceptional customer service to clients at every level of interaction. • Performing other duties and responsibilities as needed.

View details: Title Reviewer

Pennsylvania

$22 - $27 / hour

Apply

Job Closed

Foreclosure Title Reviewer

McMichael Taylor Gray, LLC

Full-service default and creditors' rights law firm delivering quality, cost-effective legal services.

Reviewer6 days ago

Full Time Remote SeniorTeam 51-200H1B No Sponsor

Company Site LinkedIn

• Title Review for states in our legal footprint • Highlighting specific experience in Title Review and Title Curative matters • Managing multiple tasks and prioritizing effectively • Communicating title issues within a client case management platform • Analyzing title documents and legal descriptions of the property • Navigating and researching online county records • Maintaining production levels on a daily basis • Comfortable working independently and as part of a team

View details: Foreclosure Title Reviewer

Tennessee

Apply

Section 508 Reviewer

TSPi

Reviewer6 days ago

Full Time Remote SeniorTeam 201-500H1B No Sponsor

Company Site LinkedIn

• Conduct comprehensive accessibility reviews of electronic documents, web applications, software interfaces, forms, reports, and other digital content to ensure compliance with Section 508 requirements • Evaluate content against applicable accessibility standards, including Section 508, WCAG, and related federal accessibility requirements • Perform manual and automated accessibility testing using industry-standard tools and assistive technologies • Review Microsoft Office documents, PDF files, web content, and other electronic deliverables for accessibility compliance • Document accessibility findings, deficiencies, risks, and recommendations in accordance with established review procedures and reporting standards • Prepare accessibility assessment reports, compliance documentation, review artifacts, and technical recommendations for project stakeholders • Provide remediation guidance and technical recommendations to developers, content authors, designers, and project teams • Research and interpret accessibility requirements, policies, standards, and best practices to support project implementation efforts • Develop, maintain, and update accessibility review documentation, procedures, checklists, job aids, and related technical materials • Track accessibility review activities, findings, corrective actions, and status updates using project management and issue-tracking tools • Collaborate with project teams to resolve accessibility issues and support successful remediation efforts • Support accessibility compliance reporting, audit preparation activities, and quality assurance reviews • Provide guidance and mentoring to junior staff and project team members regarding accessibility requirements and best practices • Participate in project meetings, requirements reviews, design discussions, and testing activities to ensure accessibility considerations are incorporated throughout the project lifecycle • Support continuous improvement initiatives related to accessibility processes, standards, and compliance monitoring • Ensure compliance with federal accessibility, security, privacy, and documentation requirements

View details: Section 508 Reviewer

United States

$72.3K - $97K / year

Apply

CNA Report Reviewer – HUD Building Assessments

AEI Consultants

Reviewer6 days ago

Full Time Remote LeadTeam 201-500H1B No Sponsor

Company Site LinkedIn

• Review CNA reports for compliance with HUD requirements and industry standards prior to delivery to the client; accountable for QA/QC responsibilities • Evaluate technical accuracy and completeness of building component assessments • Verify cost estimates and replacement reserve analyses • Review property condition descriptions and immediate repair recommendations • Ensure proper use of HUD's CNA e-Tool • Validate remaining useful life calculations for building components • Review photo documentation and supporting materials • Provide feedback and correction requests to CNA preparers • Track review status and meet project deadlines • Achieve billing goals, which may vary depending on project complexity • Training and mentoring staff on inspection and workflow practices • Build direct client relationships in support of sales efforts through servicing the account • Serve as the Project Lead, ensuring all projects are staffed, performed to high standards of quality, and delivered on time • Manage projects being completed by consultants / 1099 Contractors • Ensure projects meet the client's goals and scope expectations

View details: CNA Report Reviewer – HUD Building Assessments

United States

$100K - $115K / year

Apply

Audit Reviewer, RN/CPC

Knowtion Health

You've Got This Now

Reviewer6 days ago

Full Time Remote SeniorTeam 501-1,000Since 2008H1B Sponsor

Company Site LinkedIn

• Reviews medical record documentation to verify clinical indicators and coding issues as related to DRG Validation Audits, Emergency Department Downgrade Audits, Inpatient Level of Care Audits, and Charge Outlier Audits, etc. • Creates detailed appeal letters for denials from payer to support payment of patient claims • Manages Inventory and Follow up on accounts as appropriate • Reviews InterQual/Milliman, coding guidelines and/or payer medical policies related to denied procedures or services and includes criteria in appeals letter as appropriate • Provides feedback to supervisor regarding issues identified for ongoing training to peers and non-clinical staff members • Identifies root causes and trends to share with clients and staff • Works with peers in collaboration of clinical writing situations

View details: Audit Reviewer, RN/CPC

Alabama + 18 more

Apply

Endocrinologist – Independent Reviewer for Disability Appeals

Emperion

We're on it!

Reviewer6 days ago

Part Time Remote SeniorTeam 201-500Since 2024H1B No Sponsor

Company Site LinkedIn

• Conduct independent, evidence-based file reviews. • Review patient records and related documentation in alignment with clinical guidelines. • Provide objective, high-quality reports within turnaround timelines. • Maintain compliance with URAC, HIPAA, and internal quality standards.

View details: Endocrinologist – Independent Reviewer for Disability Appeals

United States

Apply

45more opportunities are still waiting for you.Log in now and take your next shot before someone else does.

How To Use This Page Effectively

This landing page is tuned for remote reviewer jobs in the us and refreshed hourly. Start with the title and seniority filters, then narrow by salary and tech stack to surface the most relevant matches quickly.

If you are actively applying, prioritize listings posted in the last 24 hours and track opportunities with applied/saved actions to avoid duplicate submissions.

Quick Strategy For Higher Match Quality

Lead with specific role intent

Use one precise role phrase and keep location fixed to United States for cleaner, intent-aligned results.

Prioritize fresh postings first

Open newly posted listings early to increase response rates and reduce duplicate application effort.

Refine with salary and seniority

Add compensation and seniority constraints only after you confirm category fit. This keeps filtering stable.

Related Remote Job Pages

US Remote Jobs All Remote Jobs Remote Entry-Level Jobs Remote Full-time Jobs US Remote Salary Guide Remote Interview Prep Remote Resume Tips US Remote Jobs by State (2026)US Remote Tech Stack Trends (2026)US Remote Job Market Weekly Snapshot Reviewer Jobs Reviewer Jobs in California Reviewer Jobs in Texas Reviewer Jobs in New York Reviewer Jobs in Florida