Entry Level Physician Reviewer Jobs
New grad physician reviewer jobs welcome recent graduates and entry level candidates with zero to two years of experience, where strong internship work or a relevant clinical portfolio can matter more than a long resume. Most openings are on-site roles concentrated in Healthcare & Medical Services, Science & Research, and Technology & Software, with employers like Island Peer Review Organization, IRS, and Optum hiring at this level now.
Find JobsOverview
Showing 5 of 13+ Entry Level Physician Reviewer jobs
QUALIFICATIONS:
- Current New York State license to practice as a Registered Nurse.
- Working knowledge of current Medicare and Medicaid guidelines, OASIS, Coding, OBQI/OBQM, and government payment methodologies.
- Two years experience in a Certified Home Care Agency.
- Current certification in homecare coding (HCS-D) and OASIS (COS-C) – preferred
- Excellent verbal and written communication skills
- Basic computer data entry and word processing skills
- Proven ability to work in a fast paced environment and meet deadlines
1. Reviews all available clinical documentation, consults with field clinicians and/or clinical supervisors, and assigns appropriate diagnostic codes based upon current coding guidelines and conventions for all events requiring accurate coding and sequencing.
2. Consults with physicians and referral sources to clarify and update all diagnostic conditions and diagnoses as needed.
3. Reviews clinical documentation to ensure that quality and accuracy of documentation supports reported diagnoses.
4. Maintains current PPS OASIS assessment and home health coding knowledge base.
5. Provides educational guidance to staff in identifying and resolving issues, errors, or codes that do not conform to approved coding principles/guidelines.
6. Identifies educational needs, prepares training materials, and assists with orientation and ongoing training for clinical staff to improve OASIS and coding skills. Travel may be required to other agency branch sites as assigned.
7. Communicates regularly and effectively with managers and other disciplines.
8. Assesses staff documentation skills for provision of care and communicates evaluation to managers.
9. Performs documentation review, problem identification, and follow-up to ensure compliance with billing regulatory requirements.
10. Educates team members regarding all payer rules and regulations.
11. Examines, analyzes and interprets reports as appropriate.
12. Works with support staff to facilitate corrections prior to billing.
13. Participates in special agency projects and programs as assigned.
14. Takes part in quarterly chart audits and utilization review.
15. Serves on agency committees and task forces as needed.
16. Additional responsibilities may include various coding reviews and audits, 485 proofing for errors, chart auditing as necessary for final Medicare billing, and other Quality Improvement activities.
17. Other duties as assigned.
Rate: $90,000- $95,000
QUALIFICATIONS:
- Current New York State license to practice as a Registered Nurse.
- Working knowledge of current Medicare and Medicaid guidelines, OASIS, Coding, OBQI/OBQM, and government payment methodologies.
- Two years experience in a Certified Home Care Agency.
- Current certification in homecare coding (HCS-D) and OASIS (COS-C) – preferred
- Excellent verbal and written communication skills
- Basic computer data entry and word processing skills
- Proven ability to work in a fast paced environment and meet deadlines
1. Reviews all available clinical documentation, consults with field clinicians and/or clinical supervisors, and assigns appropriate diagnostic codes based upon current coding guidelines and conventions for all events requiring accurate coding and sequencing.
2. Consults with physicians and referral sources to clarify and update all diagnostic conditions and diagnoses as needed.
3. Reviews clinical documentation to ensure that quality and accuracy of documentation supports reported diagnoses.
4. Maintains current PPS OASIS assessment and home health coding knowledge base.
5. Provides educational guidance to staff in identifying and resolving issues, errors, or codes that do not conform to approved coding principles/guidelines.
6. Identifies educational needs, prepares training materials, and assists with orientation and ongoing training for clinical staff to improve OASIS and coding skills. Travel may be required to other agency branch sites as assigned.
7. Communicates regularly and effectively with managers and other disciplines.
8. Assesses staff documentation skills for provision of care and communicates evaluation to managers.
9. Performs documentation review, problem identification, and follow-up to ensure compliance with billing regulatory requirements.
10. Educates team members regarding all payer rules and regulations.
11. Examines, analyzes and interprets reports as appropriate.
12. Works with support staff to facilitate corrections prior to billing.
13. Participates in special agency projects and programs as assigned.
14. Takes part in quarterly chart audits and utilization review.
15. Serves on agency committees and task forces as needed.
16. Additional responsibilities may include various coding reviews and audits, 485 proofing for errors, chart auditing as necessary for final Medicare billing, and other Quality Improvement activities.
17. Other duties as assigned.
Rate: $90,000- $95,000
See All 13 Entry Level Physician Reviewer Jobs
Find roles that match your experience and apply in just a few clicks.
Find JobsEntry Level Physician Reviewer Job Market
Who's Hiring
- Island Peer Review Organization2
- IRS1
- Optum1
- Upwork1
- Machinify1
Top Industries Hiring
- Healthcare & Medical Services5
- Science & Research2
- Technology & Software2
- Medical Devices1
- Consulting & Professional Services1
Entry Level Physician Reviewer Jobs: Frequently Asked Questions
How do I get an entry level physician reviewer job?
Employers hiring at this level typically look for a medical degree or active licensure, clinical experience from rotations or internships, and familiarity with utilization management or clinical documentation. Highlighting any exposure to insurance criteria, case review workflows, or quality assurance processes gives entry level candidates a genuine edge over applicants with only direct patient care backgrounds.
Which companies hire entry level physician reviewers?
Companies hiring entry level physician reviewers right now include Island Peer Review Organization, IRS, and Optum, based on current listings on Migrate Mate as of July 2026. Hiring at this level tends to come from health insurance carriers, managed care organizations, and third-party utilization review firms that build reviewer pipelines from newly licensed physicians.
Are there remote entry level physician reviewer jobs?
Yes, remote and hybrid availability is a real feature of this role at the entry level. About 33% of entry level physician reviewer openings are remote or hybrid as of July 2026, making it one of the more location-flexible physician roles available to candidates just starting out in a non-clinical career path.
Are these new grad physician reviewer jobs?
Yes, many of these postings are new grad and junior roles that explicitly welcome recent graduates and candidates with limited post-training experience. A new grad-friendly posting typically accepts 0 to 2 years of experience, counts residency or fellowship as qualifying, and does not require prior reviewer or case management history, making them accessible to physicians making an early career pivot.
Which industries hire the most entry level physician reviewers?
Entry Level physician reviewer roles concentrate in Healthcare & Medical Services, Science & Research, and Technology & Software, based on current listings on Migrate Mate as of July 2026. These sectors drive hiring at this level because payer and managed care organizations rely heavily on physician judgment for coverage determinations and appeals, and they actively recruit newly licensed doctors as a cost-effective alternative to more experienced reviewers.