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Chart Review Nurse Jobs (NOW HIRING)

University of Utah

Utilization Review Nurse

Reviews patient chart to ensure patient continues to meet medical necessity. * Documentation of all ... Performs verbal/fax clinical review with payer as determined by nursing judgment and/or ...

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How much do chart review nurse jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for chart review nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What is a chart review nurse?

A Chart Review Nurse is a registered nurse who examines medical records to ensure accuracy, compliance, and quality of care. They analyze documentation for billing, insurance claims, and legal purposes while identifying discrepancies or areas for improvement. These nurses often work for hospitals, insurance companies, or legal firms. Their role helps ensure that healthcare providers follow regulations and maintain thorough, accurate records.

What are the main responsibilities of a chart review nurse on a day-to-day basis?

Chart Review Nurses are primarily responsible for evaluating and auditing patient medical records to confirm accuracy, completeness, and compliance with healthcare regulations. Their typical day involves reviewing charts for documentation quality, verifying coding and billing accuracy, and identifying gaps in patient care. They may collaborate closely with physicians, coders, and quality assurance teams to address discrepancies and improve clinical documentation practices. This role is essential in supporting patient safety, reimbursement processes, and overall care quality within healthcare organizations.

What are the key skills and qualifications needed to thrive in the chart review nurse position, and why are they important?

A Chart Review Nurse must possess strong clinical knowledge, attention to detail, and an active RN license or nursing degree. Familiarity with electronic health records (EHR) systems, coding software, and healthcare compliance regulations such as HIPAA is typically required. Effective communication, organizational skills, and critical thinking are valuable soft skills for excelling in this position. These abilities are crucial for ensuring accurate record review, maintaining data integrity, and supporting quality improvement initiatives in healthcare settings.

How to become a chart review nurse?

To become a chart review nurse, one typically needs a registered nurse (RN) license and experience in clinical documentation or medical records. Additional certifications in health information management or coding can enhance job prospects, and familiarity with electronic health record (EHR) systems is often required.

What do chart review nurses do?

Chart review nurses examine and analyze patient medical records to ensure accuracy, completeness, and compliance with healthcare standards. They identify discrepancies, document findings, and often use electronic health record (EHR) systems to support quality assurance and billing processes.
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Chart Review Nurse jobs near you
Infographic showing various Chart Review Nurse job openings in the United States as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 88% In-person, 6% Hybrid, and 6% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Licensed Practical Nurse (LPN) Chronic Care Management (CCM) Chart Review

SNF Healthcare

Lakewood, NJ

$25.50 - $34.50/hr

Full-time

Re-posted 28 days ago

Job description

We are seeking a detail-oriented and tech-savvy Licensed Practical Nurse (LPN) to perform Chronic Care Management (CCM) chart reviews for patients in long-term care facilities. The ideal candidate is clinically knowledgeable, proficient with EHR systems (especially PointClickCare), and looking for a long-term opportunity with growth potential in a fast-growing healthcare services company.

Key Responsibilities:

  • Review patient charts and EHR data to identify qualifying chronic conditions for CCM services

  • Conduct comprehensive chart reviews to support care plan oversight

  • Document time spent and services provided in accordance with CMS CCM guidelines

  • Generate clinical summaries and communicate findings with facility leadership (DON) as needed

  • Track and log CPT codes based on services rendered and time documented

  • Collaborate with providers and internal billing teams to ensure timely and compliant billing

  • Utilize CCM software platforms to manage patient populations and care coordination

  • Maintain strict HIPAA compliance and patient confidentiality at all times

Qualifications:

  • Active and unrestricted LPN license

  • Experience in long-term care (LTC), skilled nursing facility (SNF), or chronic care setting preferred

  • CCM or RPM experience a strong plus

  • Strong clinical judgment and attention to detail

  • Excellent written documentation skills

  • Comfortable navigating multiple software platforms

  • Familiarity with EHR systems such as PointClickCare, Athena, or eClinicalWorks preferred

Compensation & Benefits:

  • Paid per CPT code billed

  • Flexible scheduling options

  • Opportunity to grow within a rapidly expanding healthcare organization

  • Ongoing training and compliance support provided