How much does a Clinical Appeals Reviewer make?
A Clinical Appeals Reviewer examines healthcare decisions and ensures they are fair and accurate. Job seekers who choose this path can expect a range of earnings. On average, Clinical Appeals Reviewers make about $61,680 per year. This figure can vary based on experience and location.
Many factors affect salary. More experienced reviewers tend to earn more. Locations with a higher cost of living may also offer higher salaries. Here are some specific salary figures to consider:
- $35,000: 10th percentile
- $44,232: 25th percentile
- $53,464: Median (50th percentile)
- $62,695: 75th percentile
- $71,927: 90th percentile
What are the highest paying cities for a Clinical Appeals Reviewer?

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Washington, DC
Average Salary: $87,574
In Washington, DC, professionals play a key role in the healthcare industry. They work with top insurance companies and healthcare providers, ensuring fair coverage decisions. The city's bustling healthcare environment offers many opportunities for growth.
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Las Vegas, NV
Average Salary: $75,717
Las Vegas offers a dynamic setting for those in the healthcare industry. Reviewers collaborate with major healthcare firms and insurance companies. They help ensure accurate and timely appeals processing in a city known for its fast-paced lifestyle.
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Columbus, OH
Average Salary: $61,688
In Columbus, professionals work with well-known healthcare providers and insurers. They play a vital role in the local healthcare system, ensuring fair coverage decisions. The city's supportive community fosters a sense of belonging.
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Albuquerque, NM
Average Salary: $61,600
Albuquerque provides a unique environment for healthcare reviewers. They work with local healthcare facilities and insurance companies. Reviewers help ensure fair coverage decisions in a city known for its natural beauty and friendly community.
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St. Louis, MO
Average Salary: $60,310
St. Louis offers a thriving healthcare scene for reviewers. They collaborate with major healthcare institutions and insurance firms. They ensure accurate appeals processing in a city rich in culture and history.
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Phoenix, AZ
Average Salary: $58,158
In Phoenix, professionals work in a growing healthcare market. They support top insurance companies and healthcare providers. Reviewers help ensure fair coverage decisions in a vibrant city with a strong economy.
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Indianapolis, IN
Average Salary: $53,450
Indianapolis is a great place for healthcare reviewers. They work with major healthcare institutions and insurers. Reviewers ensure fair coverage decisions in a city known for its welcoming atmosphere and economic growth.
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Louisville, KY
Average Salary: $47,466
Louisville offers a supportive environment for healthcare reviewers. They collaborate with leading healthcare providers and insurers. Reviewers help ensure fair coverage decisions in a city with a rich cultural heritage.
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Salt Lake City, UT
Average Salary: $45,494
Salt Lake City provides a unique setting for healthcare reviewers. They work with major healthcare organizations and insurers. Reviewers ensure fair coverage decisions in a city known for its natural beauty and strong community.
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Buffalo, NY
Average Salary: $43,033
Buffalo offers a welcoming environment for healthcare reviewers. They work with prominent healthcare providers and insurance companies. Reviewers help ensure fair coverage decisions in a city with a rich history and strong community spirit.
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What are the best companies a Clinical Appeals Reviewer can work for?

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Optum
Average Salary: $79,818
Optum offers Clinical Appeals Reviewer jobs with competitive pay. These roles are available in various locations, including the United States. Optum focuses on providing health services and technology to improve patient outcomes.
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UnitedHealthcare
Average Salary: $68,940
UnitedHealthcare provides Clinical Appeals Reviewer jobs with a solid average salary. These positions are available across several locations in the U.S. UnitedHealthcare aims to make healthcare more affordable and efficient for millions of people.
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State of Washington
Average Salary: $68,050
The State of Washington offers Clinical Appeals Reviewer jobs with a respectable salary. These roles are found in various locations within the state. The State of Washington works to ensure healthcare access for all residents.
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Molina Healthcare
Average Salary: $62,316
Molina Healthcare provides Clinical Appeals Reviewer jobs with a good salary average. These positions are located in multiple states. Molina Healthcare focuses on improving the health of its members through coordinated care.
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CVS Health
Average Salary: $60,448
CVS Health offers Clinical Appeals Reviewer jobs with a competitive salary. These roles are available across many locations nationwide. CVS Health aims to deliver high-quality care and services to patients.
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New England Life Care
Average Salary: $48,429
New England Life Care provides Clinical Appeals Reviewer jobs with a lower but still attractive average salary. These positions are available in select locations. New England Life Care is committed to improving the quality of care for seniors and individuals with chronic conditions.
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Onco360 Oncology Pharmacy
Average Salary: $47,133
Onco360 Oncology Pharmacy offers Clinical Appeals Reviewer jobs with a modest salary. These positions are available in specific locations. Onco360 Oncology Pharmacy specializes in providing pharmacy services to cancer patients, focusing on personalized and compassionate care.
How to earn more as a Clinical Appeals Reviewer?
Clinical Appeals Reviewers can increase their earnings by focusing on several key areas. First, gaining experience in the field can lead to higher salary opportunities. Those with more years in the role often find themselves in higher-paying positions. Second, obtaining certifications in medical coding and billing can set a reviewer apart. These credentials show a deep understanding of the healthcare system and improve job prospects. Third, specialization in a particular area of healthcare, such as oncology or cardiology, can also lead to higher pay. Experts in specific areas are in demand and can command higher salaries.
Networking and building professional relationships can also lead to more earning potential. Attending industry conferences and joining professional organizations can connect a reviewer with new opportunities. Lastly, staying informed about industry changes and trends keeps a reviewer competitive. Continuous learning ensures that a reviewer can adapt to new requirements and technologies, making them more valuable to employers. By focusing on these areas, Clinical Appeals Reviewers can enhance their earning potential.
Consider these factors for maximizing earnings:
- Gain more experience in the field
- Obtain certifications in medical coding and billing
- Specialize in a particular area of healthcare
- Network and build professional relationships
- Stay informed about industry changes and trends



