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Chart Utilization Review Jobs in Illinois (NOW HIRING)

YO AI Labs

Hospitalist Physician - Remote

Chicago, IL · Remote

$70 - $100/hr

Experience with chart review or clinical documentation review . * Experience with clinical documentation improvement (CDI) . * Experience with utilization review, medical coding, or healthcare ...

Rehab Centre

Case Manager LVN Full Time

Chicago, IL · On-site

$65 - $85/hr

Performs utilization review activities to provide resident appropriate, timely and cost-effective ... Clear verbal communication and vision required for chart review and resident interaction.**Work ...

Bannerhealth

Population Health Clinical Pharmacist

Banner, IL · Hybrid

$113K - $135K/yr

You will also review chart notes and labs from providers to ensure criteria have been met or should ... Takes ownership to identify and resolve utilization management issues and promotes a best-in-class ...

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Showing results 21-40

All JobsChart Utilization Review JobsChart Utilization Review Jobs in Illinois

Chart Utilization Review information

What is chart utilization review?

Chart Utilization Review is a process commonly used in healthcare settings to assess the necessity, appropriateness, and efficiency of medical services provided to patients. It involves reviewing patient charts and medical records to ensure that treatments and procedures are justified according to established guidelines and policies. This process helps in improving patient care, managing costs, and ensuring compliance with regulatory requirements. Utilization review professionals work closely with medical staff, insurance companies, and regulatory agencies to support quality and cost-effective care.

What are some common challenges faced by professionals in chart utilization review, and how can they be addressed?

Professionals in Chart Utilization Review often encounter challenges such as navigating incomplete or inconsistent medical documentation, staying current with ever-evolving healthcare regulations, and balancing productivity with accuracy. To address these challenges, it is important to maintain open communication with clinical staff, participate in ongoing training, and utilize robust electronic health record systems. Additionally, collaborating closely with interdisciplinary teams can help clarify documentation and ensure compliance with regulatory standards.

What are the key skills and qualifications needed to thrive as a chart utilization review specialist, and why are they important?

To thrive as a Chart Utilization Review specialist, you need a background in healthcare, strong knowledge of medical terminology, and experience with patient care documentation, often supported by an RN or LPN license. Familiarity with utilization management software, electronic health records (EHR), and relevant certifications such as Certified Professional in Utilization Review (CPUR) are typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for accurately reviewing charts and collaborating with healthcare providers. These abilities ensure compliance, optimize patient care, and support cost-effective healthcare delivery.

What is the difference between Chart Utilization Review vs Chart Review Specialist?

AspectChart Utilization ReviewChart Review Specialist
CredentialsTypically requires healthcare or insurance-related certificationsOften requires medical or coding certifications
Work EnvironmentHealthcare facilities, insurance companies, utilization management teamsMedical offices, insurance companies, coding firms
Employer & IndustryHospitals, insurance providers, healthcare organizationsMedical billing companies, insurance firms, healthcare providers
Primary FocusAssessing medical necessity and appropriateness of servicesReviewing medical records for coding accuracy and completeness

While both roles involve reviewing medical information, Chart Utilization Review focuses on evaluating the necessity of healthcare services, whereas Chart Review Specialists primarily verify medical documentation for coding and billing accuracy. Understanding these distinctions helps professionals choose the right career path or job search focus.

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

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

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

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

What cities in Illinois are hiring for Chart Utilization Review jobs?

Cities in Illinois with the most Chart Utilization Review job openings:

Chart Utilization Review jobs near you
Infographic showing various Chart Utilization Review job openings in Illinois as of August 2026, with employment types broken down into 1% As Needed, 65% Full Time, 31% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

Hospitalist Physician - Remote

YO AI Labs

Chicago, IL • Remote

$70 - $100/hr

Full-time

Posted 15 days ago

Job description

Hospitalist Physician

Job Type: Contractor
Location: Remote

Job Overview

We are seeking experienced Hospitalist Physicians to contribute their medical expertise to a project focused on inpatient care, clinical documentation, and medical record quality. In this role, you will review clinical records, evaluate documentation for accuracy and completeness, and apply your clinical expertise to support high-quality medical data and AI training.

The ideal candidate has recent inpatient or hospitalist experience, strong clinical documentation knowledge, and the ability to consistently apply established review standards.

Key Responsibilities
  • Review medical records, including FHIR data and clinical notes, for AI training and quality evaluation.
  • Verify that clinical information, findings, and claims are supported by the available medical record.
  • Review inpatient documentation, including History of Present Illness (HPI), Past Medical History (PMH), assessments, and treatment plans.
  • Evaluate clinical documentation for accuracy, completeness, and consistency.
  • Identify missing, incorrect, conflicting, or unsupported information in medical records.
  • Apply established rubrics, guidelines, and review criteria consistently across cases.
  • Provide clear and concise feedback on clinical documentation and data quality.
  • Support quality assurance processes by identifying potential issues and inconsistencies.
  • Communicate effectively with the project team regarding findings, questions, and complex cases.
  • Maintain high standards of accuracy, consistency, and attention to detail throughout the review process.
Required Qualifications
  • MD or DO degree.
  • Board certification in Internal Medicine, Pediatrics, or Hospital Medicine.
  • Current or recent inpatient/hospitalist experience within the last 2 years.
  • Strong understanding of inpatient documentation and hospital workflows.
  • Experience reviewing clinical notes and medical records.
  • Ability to interpret FHIR-based clinical data and structured medical records.
  • Strong understanding of HPI, PMH, assessments, plans, and other inpatient documentation.
  • Excellent attention to detail and ability to identify discrepancies in clinical information.
  • Ability to follow defined rubrics and quality standards consistently.
  • Strong written and verbal communication skills.
Preferred Qualifications
  • Experience with chart review or clinical documentation review.
  • Experience with clinical documentation improvement (CDI).
  • Experience with utilization review, medical coding, or healthcare quality assurance.
  • Familiarity with electronic health records and structured clinical data.
  • Experience working across multiple inpatient services or specialties.
  • Previous experience reviewing healthcare data for quality, accuracy, or compliance.
  • Comfortable working independently in a remote environment.
Core Skills
  • FHIR Records
  • History of Present Illness (HPI)
  • Past Medical History (PMH)
  • Clinical Documentation Review
  • Inpatient / Hospitalist Experience
  • Quality Assurance
  • Medical Record Review
  • Clinical Judgment
  • Healthcare Data Quality
  • Rubric-Based Evaluation
  • Attention to Detail
  • Written and Verbal Communication