Teleradiology jobs in India: how remote reporting work actually works

A teleradiology job in India is one of two things. In the first, a company such as Krsnaa Diagnostics employs radiologists at a central hub, pays a salary and puts them on a roster.⁴ In the second, a network or platform such as 5C Network or Raydiac contracts with radiologists as independent professionals, lets them choose modalities and hours, and pays a rate per study.³ Both require a postgraduate radiology qualification, a current medical council registration, professional indemnity cover and a workstation that meets diagnostic display standards. This guide compares the two, lists what you need, explains how studies reach you on a managed network, and sets out what a contract should say and what should make you walk away.

The two models compared

The difference is not only pay. It runs through employment status, liability and who owns your time.

An employed hub suits a radiologist who wants a predictable salary and no overheads. A per-study network suits one who wants to keep a hospital post and read in the evenings, or who wants to build a full-time practice without an employer. The radiologist salary guide puts numbers on both.

What you need

• Registration. A current registration with a State Medical Council or the National Medical Commission, verifiable on the Indian Medical Register. The NMC opened the National Medical Register in August 2024, and a draft amendment notified on 11 August 2026 proposes a national Unique ID for every doctor.¹⁰ Networks verify against the IMR at onboarding; the NMC registration guide explains what is checked.
• Qualification. MD Radiodiagnosis, DNB Radiodiagnosis or DMRD. Hospitals buying reports expect named radiologists carrying their own registration and qualification.¹¹
• Professional indemnity. The IRIA Radiologist Protection Scheme provides cover through CoverYou with ICICI Lombard at a reduced premium with continuity of retroactive dates;⁶ CoverYou’s doctor cover starts at ₹299 a month.⁷ A network should record the policy at onboarding.
• A diagnostic-grade display. The ACR–AAPM–SIIM standard sets a minimum luminance of at least 1.0 cd/m², a maximum of about 350 cd/m², calibration to the DICOM greyscale standard display function within 10 percent, and ambient light of 25 to 75 lux.⁸ The DICOM viewer guide covers what that means for a home setup.
• Reliable internet with a backup connection. A full CT or MRI study is streamed to the browser, and a dropped connection mid-read costs time on a service-level clock.
• A device that supports two-factor authentication. Serious networks make 2FA mandatory for radiologists, since a reporting account signs medical records.

How assignment works on a managed network

On a managed network, studies are routed rather than grabbed. On Raydiac the sequence is: a radiologist is credentialed for a specific hospital and modality; the radiologist declares which modalities and shifts they will read; when a hospital sends a study, an assignment engine offers it to radiologists holding an active credential for that organisation and modality, weighing subspecialty where relevant, roster, current load and the service-level clock. STAT studies go to the top of every eligible list, with a backup route if the offer is not accepted in time. Each offer is time-boxed; the radiologist accepts or declines, and a declined or expired offer moves to the next eligible radiologist.

The contrast is an open pool, where every study sits in one list and whoever clicks first takes it. Pools reward speed over fit, leave STAT work to chance, and let a radiologist read for a hospital that never credentialed them. A managed network also fixes priority at intake: the hospital sets routine, urgent or STAT, and it can only be raised, never lowered by the reader.

What a contract should say

A per-study contract should read as a professional services agreement between two independent parties. The clauses that matter:

Red flags

• Sign-off-only or “remote authentication” work. Any arrangement in which you sign or authenticate reports drafted or read by someone else. The NMC’s RTI reply of 3 January 2025 states that the Telemedicine Practice Guidelines do not permit a registered practitioner to sign pathology and radiology reports via remote authentication without physical presence and supervision, and that the guidelines do not address it.¹ A registered radiologist personally interpreting images and signing their own report is a different thing, and the guidelines, which cover consultations across the whole country, do not mention radiology at all.² The teleradiology regulations guide sets out the full position.
• Unpublished rates. If the rate per study is not written down before you accept, you cannot compare it with the IRIA floor, which runs from ₹300 for a CT brain to ₹1,200 for a cardiac MRI plus ₹100 for contrast.⁵
• The platform holding your fees. A platform that collects the hospital’s money into its own account and pays you later is acting as an unlicensed payment aggregator under the RBI’s September 2025 Master Directions. Ask how settlement works.
• Obstetric ultrasound reads. The PC-PNDT Act ties every ultrasound of a pregnant woman to a registered place and a named person present there. Remote reporting of obstetric ultrasound is not permitted, and a network offering it is exposing you to section 23 penalties.
• Exclusivity dressed up as a contract. A per-study agreement that forbids you reading elsewhere gives you the constraints of employment without its security.
• No credentialing questions. A network that does not ask for your council registration, degree and indemnity before assigning work is not checking anyone else’s either.

Part-time and night work

The demand for remote reporting is concentrated in nights, weekends and hospitals with no radiologist on the roster. That is what makes part-time work viable: a radiologist with a daytime post can declare evening or weekend shifts and read for district hospitals during them. Networks pay more for those hours; 5C Network publishes 10 percent extra in the evening and 20 percent extra between 1 and 5 AM.¹²

Two checks before combining a post with per-study work. Government service rules and some private employment contracts restrict outside practice; read yours. And a night shift on a managed network is a commitment to be available for the service-level clock, not a list you dip into, so declare only the hours you can hold.

How to apply to Raydiac

Raydiac is a managed teleradiology reporting network for CT and MRI, launching with hospitals and diagnostic centres in Punjab and a panel of 15 to 25 radiologists, with nights and weekends as the first need and Punjabi- and Hindi-speaking readers welcome for local referrers. Radiologists are independent contractors, never employees. Onboarding records the MD, DNB or DMRD degree, the council registration verified against the Indian Medical Register, and professional indemnity; verification is repeated annually. Each radiologist is credentialed per hospital and modality, chooses modalities and shifts, reads the full study in a browser OHIF viewer, and signs with Aadhaar eSign. Pay is a published per-study rate card, settled monthly with a payout statement, TDS under section 194-O and Form 16A.

The for radiologists page lists the onboarding steps and the sign-up page is where to start.