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Chart Review Jobs in Texas (NOW HIRING)

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Chart Review information

See Texas salary details

$50.8K

$105.8K

$157.9K

How much do chart review jobs pay per year?

As of Sep 5, 2026, the average yearly pay for chart review in Texas is $105,793.00, according to ZipRecruiter salary data. Most workers in this role earn between $86,600.00 and $123,900.00 per year, depending on experience, location, and employer.

What is a chart review?

A Chart Review job involves analyzing patient medical records to ensure accuracy, compliance, and quality of care. Professionals in this role assess documentation for coding accuracy, medical necessity, and adherence to healthcare regulations. They may work for hospitals, insurance companies, or legal firms to identify discrepancies, support audits, or improve clinical outcomes. Strong attention to detail, medical knowledge, and familiarity with electronic health records (EHR) are essential.

What does a chart review do?

Professionals in Chart Review roles spend most of their day reviewing and analyzing patient medical records to extract key data points or verify accuracy and completeness for quality assurance, billing, or compliance purposes. They often work independently but may also collaborate with physicians, nurses, or coding professionals to clarify documentation and resolve discrepancies. Regular tasks can include entering data into EHR systems, generating reports, and participating in audits or process improvement activities. This role requires excellent time management and organizational skills, as meeting deadlines while maintaining accuracy is crucial. Depending on the employer, chart review professionals may work onsite in healthcare facilities or remotely.

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

To thrive in a Chart Review role, you need a solid understanding of medical terminology, healthcare documentation, and data abstraction, often supported by a background in nursing, health information management, or a related clinical field. Familiarity with electronic health records (EHR) systems, coding standards (such as ICD-10 or CPT), and possibly certifications like RHIT or CCS is typically required. Attention to detail, analytical thinking, and effective written communication are standout soft skills in this position. These qualifications and skills are vital to ensure accurate, compliant, and timely review of patient records that drive clinical, operational, and reimbursement outcomes.

How to become a chart reviewer?

To become a chart reviewer, typically one needs a background in healthcare such as a medical assistant, nurse, or medical coder, along with knowledge of medical records and documentation standards. Relevant skills include attention to detail, familiarity with electronic health record (EHR) systems, and understanding of medical terminology. Certification or training in medical coding or health information management can enhance job prospects.

What are the most commonly searched types of Chart Review jobs in Texas?

The most popular types of Chart Review jobs in Texas are:

What are popular job titles related to Chart Review jobs in Texas?

For Chart Review jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Chart Review jobs in Texas look for?

The top searched job categories for Chart Review jobs in Texas are:

What cities in Texas are hiring for Chart Review jobs?

Cities in Texas with the most Chart Review job openings:

Chart Review jobs near you
Infographic showing various Chart Review job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 12% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $105,793 per year, or $50.9 per hour.

Director of Nursing RN Home Health Family Owned Agency 30 Years

Tricare Home Health Services Inc

San Antonio, TX • On-site

$70K - $90K/yr

Full-time

PTO

Posted 21 days ago

Job description

We are a family-owned home health agency in San Antonio with over 30 years of experience, and we are looking for a Director of Nursing who wants to lead a clinical team the right way — with real authority, real support, and an agency that has its house in order.
This is not a turnaround job. You are not walking into a mess.
We have two consecutive deficiency-free state surveys, patient satisfaction scores of 93% against a Texas average of 63%, and a physician referral network built over three decades in this community. You are inheriting a functioning agency with an experienced office team — and the room to make it even better.
Why this DON job is different

Most DON roles ask one person to be everything: clinician, compliance officer, coder, biller, scheduler, and HR. That is why most DONs burn out.
Here, you have a team around you:
  • A Director of Operations who owns billing, authorizations, and day-to-day operations
  • A QA nurse with 20 years at this agency who handles chart review and OASIS quality
  • Outsourced coding and QA support so you are not personally coding every chart
  • A dedicated intake and scheduling coordinator
  • An alternate supervising nurse for coverage
  • A modern EMR (WellSky) with mobile point-of-care charting
Your job is clinical leadership — not doing everyone else's job at 9 p.m.
We invest in technology, and you'll actually feel it

We run on WellSky SkySense, and we're rolling out AI documentation tools to our field team — including ambient AI that helps draft visit notes. We're one of the first agencies in San Antonio putting this in our nurses' hands.
Behind the scenes, we also use AI-assisted chart review and audit-defense tools to catch documentation gaps before they become denials or survey findings. That means you're not personally reading 40 charts on a Saturday to find the one problem.
If you've spent years at agencies running on outdated software and manual chart audits, this will be a different experience. We'd rather spend money on better tools than burn out good nurses.
What you will own

  • Clinical oversight of all patient care services and personnel under the Medicare Conditions of Participation
  • Plan of care review and approval, coordination of care, and case conferences
  • Supervision and development of field RNs and LVNs
  • OASIS accuracy, timely transmission, and outcome improvement
  • QAPI program leadership
  • Survey readiness and regulatory compliance (Medicare CoPs, Texas HCSSA)
  • Partnering with the Administrator and Director of Operations on growth and quality strategy
The kind of leader we are looking for

We are direct about this, because it matters more to us than anything else on your resume:
We are looking for a nurse leader who develops people, not one who corrects them.

Our field staff are experienced professionals. The right person for this role gives clear expectations, coaches in private, gives credit in public, and knows the difference between holding a standard and making someone feel small. If a nurse makes a documentation error, we want them taught — not embarrassed.
You will have full authority to set clinical standards here. We will back you up. In exchange, we expect the people who work under you to want to keep working here.
If you are clinically strong and people genuinely like working for you, you are exactly who we are looking for — and you already know how rare that combination is.
What we're looking for

  • Active Texas RN license (BSN preferred)
  • Home health experience required — Medicare-certified home health specifically
  • Prior DON, Assistant DON, Clinical Manager, or clinical supervisory experience
  • Working knowledge of the Medicare Home Health Conditions of Participation
  • OASIS-E competency
  • Experience with QAPI, survey preparation, or ADR/audit response
  • Comfort with EMR systems — WellSky experience is a plus but not required
  • Bilingual English/Spanish is a plus
  • Reliable transportation and current auto insurance
  • Current CPR certification
Compensation and schedule

  • Salary: $[85,000–95,000] annually, depending on experience
  • Additional per-visit compensation for any field visits you choose to make
  • Full-time, Monday–Friday, in-office
  • Paid time off
  • Paid holidays
Why nurses stay here

  • Family-owned and family-run — you deal directly with the owners, not a corporate region manager
  • 30+ years in San Antonio home health with a clean survey record
  • A small, capable office team that actually communicates
  • Real decision-making authority over clinical practice
  • Stability — we have been here since 1996 and we are not going anywhere
Ready to lead a clinical team that will be glad you showed up? Apply today. We respond to every applicant, and we move quickly for the right person.