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Chart Reviewer Jobs in Michigan (NOW HIRING)

Holland Home

Onsite Quality Review Clinician

Grand Rapids, MI · On-site

$52K - $69K/yr

Certified home health experience with strong expertise in chart review * Possesses and demonstrates a thorough knowledge of Home Health regulations and COPs * Required: Minimum of 3 years of OASIS ...

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Chart Reviewer information

See Michigan salary details

$9

$26

$42

How much do chart reviewer jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for chart reviewer in Michigan is $26.05, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $31.83 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 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.

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 are popular job titles related to Chart Reviewer jobs in Michigan? For Chart Reviewer jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Chart Reviewer jobs in Michigan look for? The top searched job categories for Chart Reviewer jobs in Michigan are:
Chart Reviewer jobs near you
Infographic showing various Chart Reviewer job openings in Michigan as of June 2026, with employment types broken down into 6% As Needed, 75% Full Time, 3% Part Time, and 16% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $54,178 per year, or $26 per hour.
Risk Adjustment Compliance Coder

Risk Adjustment Compliance Coder

Upper Peninsula Health Plan

Marquette, MI • Remote

$28.86/hr

Full-time

Posted 10 days ago

Job description

DATE: June 4, 2026POSITION:  Risk Adjustment Compliance CoderDEPARTMENT:  Finance-Risk AdjustmentRATE: $28.86 per hour, with potential for additional compensation based on qualifications. POSITION SUMMARY: 
The Risk Adjustment Compliance Coder is responsible for enhancing the accuracy, quality, and integrity of coding data that supports Medicare and Medicaid reimbursement. This role conducts risk adjustment coding audits, performs compliance research, responds to coding inquiries, and serves as a subject matter expert in risk adjustment coding and compliance. The position supports Medicare and Medicaid risk adjustment programs through the development, implementation, and ongoing evaluation of program initiatives. Highly collaborative and operational in nature, this role partners closely with providers and internal stakeholders and requires strong communication, education, and relationship-management skills. This is not a traditional production-focused coding position. 
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Follows established Upper Peninsula Health Plan (UPHP) policies and procedures, objectives, safety standards, and sensitivity to confidential information.
 
2. Collaborates with Risk Adjustment Analyst to develop, implement, and continually refine internal prospective and retrospective chart review programs and related risk adjustment initiatives.
 
3. Follows International Classification of Diseases (ICD)-10 guidelines for Coding and Reporting, Centers for Medicare & Medicaid Services (CMS) risk adjustment guidelines, and demonstrates knowledge of Current Procedural Terminology (CPT) coding. Understands the impact of ICD-10 coding on the CMS Hierarchical Condition Categories (HCC) risk adjustment model, and serves as the subject matter expert for risk adjustment activities.
 
4. Supports risk adjustment compliance and program integrity activities, including RADV preparedness, high-risk diagnosis review and validation, audit support, and identification and escalation of potential coding or documentation compliance concerns.
 
5. Assists with extraction of charts via remote Electronic Medical Record (EMR) access or faxed medical record request for risk adjustment initiatives.
 
6. Performs comprehensive medical record review, verifying and ensuring accuracy, completeness, specificity, and appropriateness of diagnoses codes in accordance with ICD-10 guidelines based on medical record documentation. Documents trends, observations, and potential coding or documentation improvement opportunities identified during the review process.
 
7. Maintains a comprehensive tracking and management tool to track all coding activities; generates and maintains accurate weekly, monthly, and quarterly reports of activities.
 
8. Assists with chart review encounter data submissions to CMS based on chart review findings.
 
9. Provides support during the annual retrospective chart review performed by an external party.
 
10. Identifies, develops, and delivers general and specific educational guidance to providers and clinic staff through webinars, newsletters, presentations, and other educational forums based on risk adjustment audit findings, CMS guidelines, regulatory requirements, and industry best practices.
 
11. Collaborates with internal departments, as appropriate, to carry out risk adjustment program activities to ensure integrity of diagnoses attributed to members submitted to the Michigan Department of Health and Human Services (MDHHS) and CMS by UPHP.
 
12. Collaborates with healthcare leaders, physicians, and provider office personnel to improve the accuracy and completeness of diagnosis code capture. Facilitates provider education, documentation clarification, and coding-related discussions in a professional, consultative manner to support risk adjustment and compliance objectives. 
 
13. Maintains confidentiality of client data.
 
14. Performs other related duties as assigned or requested.
POSITION QUALIFICATIONS:Education:Minimum:
High School Diploma
 Preferred:
Associate degree in business, health information processing, or related field 
 Certification:Minimum:
Must possess and maintain an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) certification—Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC)
 Preferred:
Certified Coding Specialist (CCS-P, CCS, CPC) and Certified Risk Adjustment Coder (CRC)
 
Experience:Minimum:
Two (2) years of experience in medical chart coding
 Preferred:
Five (5) years of experience in medical chart coding, including inpatient and outpatient settings; working knowledge of managed care and health plan standards on Risk Adjustment Coding
 
Other Qualifications:
Knowledge and understanding of medical terminology, disease process, and anatomy and physiology
Advanced knowledge and understanding of CPT coding across a wide variety of provider specialties
 Required Skills:
Excellent organizational abilities with attention to detail
Ability to effectively communicate with, and educate, clinic staff (provider, care managers, clinic quality leads, etc.)
Working knowledge of Microsoft Office (Word, Excel, Outlook)
Keyboarding proficiency
Research and analytical skills
 Preferred Skills:
Knowledge of MS PowerPoint
Oriented to managed care
 
The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.
 
Physical Requirements: 
[This job requires the ability to perform the essential functions contained in the description. These include, but are not limited to, the following requirements. Reasonable accommodations may be made for otherwise qualified applicants unable to fulfill one or more of these requirements]:
 
Ability to enter and access information from a computer
Occasionally lifts supplies/equipment
Prolonged periods of sitting
Manual dexterity 
 
Working Conditions:
Position available onsite (in Marquette, Michigan), fully remote, or hybrid with a remote work option up to three (3) days per week 
Works in office conditions, but occasional travel is required
Exposure to situations requiring exceptional interpersonal skills or high productivity
Occasionally subjected to irregular hours
Subject to many interruptions
 Remote Work Requirements:
Remote candidates must reside in the state of Michigan
For fully remote team members, initial on-site/in-person onboarding and training for a minimum of ten (10) consecutive business days at UPHP’s headquarters in Marquette, Michigan (stipend provided) 
Periodic travel to UPHP’s headquarters for regular training including all staff meetings
Private home office required; computer and phone hardware provided
Personal vehicle required for periodic travel; mileage reimbursement provided at GSA rate
Employment Type: FULL_TIME

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