1099 Utilization Review for Internal Medicine Physicians

MRIoA • Orlando, FL

13h • Remote

About The Position

Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We’re a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.

We’re seeking a Board-Certified Internal Medicine physician, to assist in Utilization Review work which involves evaluating medical records to determine whether healthcare services—such as treatments, procedures, medications, or levels of care—are medically necessary, appropriate, and compliant with established clinical guidelines. Will review documentation, compare it to evidence‑based criteria such as InterQual, MCG, and Medicare policies, and ensure that the care being delivered meets regulatory and health‑plan requirements.
UR work helps verify that patients receive the right care at the right time, prevents unnecessary or duplicative services, supports safe transitions between care settings, and promotes efficient use of healthcare resources.
Why Consider Peer Review Work?
Stay up-to-date on clinical practices and treatment trends in your specialty
Flexibility, can work 1-2 hours a week, or more if you prefer. Daytime availability is required.
Gain insight into the approval process for your own patients’ treatments
Most reviews take just 30–60 minutes to complete each review
No minimum case requirements
ADDITIONAL DETAILS
Remote, work-from-home position—work anywhere in the U.S.
Covered by MRIoA’s Errors and Omissions policy (not traditional malpractice insurance)
Independent contractor role (1099 status)
Work can only be done within the U.S. per regulations

Requirements

• MD or DO, currently Board Certified in Internal Medicine
• Minimum 5 years of direct, clinical experience in Family Medicine (including Residency)
• Willingness and availability for daytime peer-to-peer conversations
• Unrestricted FLORIDA, MINNESOTA, PENNSYLVANIA, INDIANA, OREGON or TEXAS medical license, or a current "Letter of Qualification" from the IMLCC.
• Strong computer and online navigation skills
• Must be a U.S. Citizen or Green Card holder (Visa sponsorship is not available)

Responsibilities

• evaluating medical records to determine whether healthcare services—such as treatments, procedures, medications, or levels of care—are medically necessary, appropriate, and compliant with established clinical guidelines
• review documentation
• compare it to evidence‑based criteria such as InterQual, MCG, and Medicare policies
• ensure that the care being delivered meets regulatory and health‑plan requirements

Benefits

• Covered by MRIoA’s Errors and Omissions policy (not traditional malpractice insurance)
• Independent contractor role (1099 status)
• Remote, work-from-home position—work anywhere in the U.S.
• Flexibility, can work 1-2 hours a week, or more if you prefer. Daytime availability is required.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: Ph.D. or professional degree