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$10

$29

$48

How much do chart reviewer jobs pay per hour?

As of Jul 12, 2026, the average hourly pay for chart reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.

What are some common challenges faced by Chart Reviewers, and how can they be addressed?

Chart Reviewers often encounter challenges such as incomplete or inconsistent medical records, navigating different electronic health record (EHR) systems, and maintaining accuracy under tight deadlines. To address these challenges, strong attention to detail, effective organizational skills, and familiarity with various EHR platforms are essential. Team collaboration and open communication with healthcare providers can also help clarify ambiguous documentation and ensure the integrity of data abstraction. Proactively seeking clarification and ongoing training can further support success in this role.

What is a Chart Reviewer?

A Chart Reviewer is a professional who examines medical records and patient charts to ensure accuracy, completeness, and compliance with healthcare regulations. They often review documentation for quality assurance, insurance claims, or research purposes. Chart Reviewers may work in hospitals, clinics, insurance companies, or research organizations. Their work helps improve patient care, supports billing processes, and ensures regulatory standards are met.

What does a chart reviewer do?

A chart reviewer examines medical or legal charts to ensure accuracy, completeness, and compliance with regulations. They verify data, identify discrepancies, and may use electronic health record systems or other software tools as part of their review process.

What are the key skills and qualifications needed to thrive as a Chart Reviewer, and why are they important?

To thrive as a Chart Reviewer, you need a strong understanding of medical terminology, clinical documentation, and healthcare regulations, typically supported by a background in nursing, health information management, or a related field. Familiarity with electronic health record (EHR) systems, coding software (such as ICD-10 and CPT), and relevant certifications like Certified Professional Medical Auditor (CPMA) are commonly required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for accurately interpreting and reporting medical data. These competencies ensure the accuracy and compliance of medical records, directly impacting patient care quality and organizational reimbursement.

How to become a chart review RN?

To become a chart review RN, you typically need a registered nurse license and experience in clinical documentation or medical records review. Additional certifications such as Certified Professional Medical Auditor (CPMA) or Certified Coding Specialist (CCS) can enhance qualifications, and familiarity with electronic health record systems is often required.

What is the difference between Chart Reviewer vs Medical Coder?

AspectChart ReviewerMedical Coder
CredentialsTypically requires coding certifications (e.g., CPC, CCS)Requires coding certifications (e.g., CPC, CCS)
Work EnvironmentHospitals, clinics, insurance companies reviewing medical recordsHospitals, clinics, insurance companies assigning codes to diagnoses and procedures
Primary ResponsibilitiesReviewing medical charts for accuracy and completenessAssigning standardized codes to medical diagnoses and procedures
Industry UsageUsed in quality assurance and complianceUsed in billing, reimbursement, and record keeping

While both Chart Reviewers and Medical Coders work with medical records and require coding certifications, Chart Reviewers focus on verifying the accuracy and completeness of medical charts, ensuring compliance and quality. Medical Coders, on the other hand, assign standardized codes to diagnoses and procedures for billing and reimbursement purposes. Both roles are essential in healthcare documentation and often overlap in healthcare settings.

What is the easiest medical job that pays well?

A chart reviewer is a medical job that typically requires minimal direct patient interaction and focuses on reviewing medical records for accuracy and compliance. It often offers a good salary with flexible schedules and requires knowledge of medical terminology and coding, but generally involves less physical and emotional stress than other healthcare roles.

What is the highest paying hands-on job?

Chart reviewers typically earn moderate salaries, but the highest paying hands-on jobs are often in fields like healthcare (e.g., surgeons), engineering, or skilled trades such as elevator installers and power plant operators. These roles usually require specialized training, certifications, or apprenticeships and can offer six-figure incomes depending on experience and location.
More about Chart Reviewer jobs
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What states have the most Chart Reviewer jobs? States with the most job openings for Chart Reviewer jobs include:
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Chart Reviewer jobs near you
Infographic showing various Chart Reviewer job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 81% Full Time, 14% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $62,159 per year, or $29.9 per hour.
Clinical RN Chart Reviewer, (Remote) CIC or CCS certified

Clinical RN Chart Reviewer, (Remote) CIC or CCS certified

ProgenyHealth LLC

Plymouth Meeting, PA • On-site

$90K - $110K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Description:

Job Role


The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Senior Manager and support a culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity, and regulatory guidelines.

Requirements:

Responsibilities will include:

  • Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines.
  • Analysis of claims data to optimize reimbursement by ensuring that the diagnosis codes, procedure codes, and supporting documentation accurately support the service rendered.
  • Ensures claims analysis complies with ethical coding standards, guidelines, and regulatory requirements.
  • Responsible for performing clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered.
  • Utilize Clinical Review Tools and EMR Systems.
  • Research reimbursement regulations for claim payment compliance to support and validate audit findings.
  • Assist with the development of claims audit process documentation, including workflow diagrams, policies and procedures, and standard operating procedures.
  • Detect discrepancies in provider billing and recommend adjustments to ensure proper reimbursement.


Qualifications:

  • Registered Nurse required, preferable NICU
  • 2+ years with inpatient claims, required, preferably NICU and maternity
  • Inpatient Coding Certification required - CCS or CIC. If not currently certified, requirement to obtain CIC or CCS within 6 months of hire, applicant responsible for exam and associated fees*
  • Experience in nursing, inpatient coding and reimbursement guidelines, and specifically, has a solid understanding of the MS-DRG, AP-DRG and APR-DRG payment systems.
  • 2+ years of working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, payer reimbursement policies, medical necessity criteria and coding terminology.
  • Adherence to official coding guidelines, coding clinic determinations, and CMS and other regulatory compliance guidelines and mandates.
  • Requires expert coding knowledge - DRG, ICD-10, CPT, HCPCS codes.
  • Experience with appeals is strongly preferred.
  • Excellent communication skills, both oral and written.
  • Strong interpersonal skills that will support collaborative teamwork.
  • Proficient in Microsoft Office: Word and Excel; Access – highly preferred.
  • Ability to work independently and within a team.
  • Critical listening, thinking, decision making and problem solving.


Benefits


This position has a salary range of $90,000 - $110,000 annually based on relevant experience. Some of the benefits we offer our team are:

  • Paid Time Off
  • Paid Parental Leave
  • Medical, dental, vision benefits
  • 401K with company match
  • Short- and Long-Term Disability
  • Group Life Insurance
  • Tuition reimbursement
  • Professional development opportunities
  • Business Casual work environment
ProgenyHealth positively recruits people from diverse backgrounds, including individuals with disabilities - if you need an accommodation to interview, please contact us by email: careers@progenyhealth.com


Equal Opportunity Employer, including individuals with disabilities and veterans.