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Chart Review Jobs (NOW HIRING)

LifeHealth

Medical Review RN

Washington, DC · On-site

LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review and chart case management for medical exam/screening programs to verify that all medical information and exam ...

LifeHealth

Medical Review RN

Washington, DC

LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review and chart case management for medical exam/screening programs to verify that all medical information and exam ...

Lifehealth LLC

Medical Review RN

Washington, DC · On-site

$45/hr

LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review and chart case management for medical exam/screening programs to verify that all medical information and exam ...

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$54.5K

$113.6K

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How much do chart review jobs pay per year?

As of Aug 24, 2026, the average yearly pay for chart review in the United States is $113,553.00, according to ZipRecruiter salary data. Most workers in this role earn between $93,000.00 and $133,000.00 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.
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Chart Review jobs near you
Infographic showing various Chart Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $113,553 per year, or $54.6 per hour.

Utilization Review RN - Per Diem*

CARSON VALLEY HEALTH

Gardnerville, NV • On-site

Other

Re-posted 27 days ago

Carson Valley Health rating

8.9

Company rating: 8.9 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Utilization Review RN - Per Diem

*IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.

Position Summary:

Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance company requirements for reimbursement.

Position Requirements:

Minimum Education

  • A Bachelor's Degree in Nursing preferred; three (3) years of clinical care or nursing experience; OR an equivalent combination of education and experience AND (2) two years' experience Utilization Review.

Certificate Preferred

  • CCM (certification in case management) is preferred.

License Required

  • Must be licensed as a Registered Nurse by the State of Nevada, and remain active with all annual licensing requirements.

Minimum Work Experience

  • Minimum of 1 year of case management or utilization management experience.
  • Knowledge of InterQual or McKesson criteria preferred.
  • Knowledge in conducting a medical record review for medical necessity.
  • Knowledge of basic ICD-10, CPT coding knowledge preferred.
  • Basic knowledge of regulations as set forth by The Centers for Medicare Medicaid Services.
  • Skill in operating a personal computer utilizing a variety of software applications.
  • Strong written and oral communication skills
  • Skill and ability to work independently
Position Essential Functions:

Chart Review

  • Conducts chart review to determine that InterQual-based care criteria is met.
  • Assist in determining if patients are in the correct hospital setting
  • Review elective surgery schedule
  • Review outpatient charts (observation)
  • Obtains appropriate patient records as required by payor agencies and initiates the UR Medical Director as necessary for unwarranted admissions

Hospital Reimbursements

  • Understand and demonstrate the requirements needed to maximize reimbursement to the hospital
  • Assist in obtaining authorizations as needed; including follow-up
  • Respond to insurance providers in a timely and thorough manner
  • Communicates with various hospital departments in a meaningful manner
  • Assists in ensuring appropriate room charges, patient status, discharge disposition, etc.
  • Reviews denials and collaborates on appeals of denials
  • Communicates with HIM staff and resolves discrepancies

Knowledge

  • Condition 44 documentation and requirement; HINN notification letters, ABN-advance beneficiary notice, Important Letter from Medicare, etc
  • Maintains practices consistent with the hospital's utilization review (UR) plan
  • Reviews the plans components and is a member of the utilization review committee
  • Obtains data and statistics addressed in the hospital's UR plan and presents information as needed
  • Ensures appropriate and cost-effective healthcare services to patients

Documentation

  • Demonstrates understanding and supports clinical documentation improvement strategies
  • Ability to efficiently locate priority clinical information in a medical record, and to critically interpret that information as part of a treatment plan.
  • Analyze clinical information to identify areas with potential for documentation improvement
  • Demonstrates collaborative work relationship with coding staff to assure documentation of discharge diagnosis and co-morbidities are complete and accurately reflect the patient's clinical status and care.
  • Reviews medical records concurrently, recognizes opportunities for documentation improvement, and follows up with appropriate staff.
  • Facilitates modifications to clinical documentation through collaborative interactions with physicians, nurses, and ancillary staff.

Carson Valley Health is proud to be recognized as a finalist in the "Best Places to Work" - Northern Nevada, 2021, 2022, 2024, 2025 & 2026!

We look forward to welcoming you to our team!

Per diem positions have no guaranteed hours or set schedule. The position will fill in for individuals who take unplanned and/or planned time off.

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