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Clinical Chart Reviewer Jobs in Indiana (NOW HIRING)

Client looking for someone who has had medical/surgical/clinical experience, chart review and/or operating room experience and should have an active license. Identify complaint information from ...

Documents received are reviewed to determine if further reports are needed for the patient visit (i ... Clinical Orientation, tuition assistance, certification reimbursement • Growth: Parkview ...

Client looking for someone who has had medical/surgical/clinical experience, chart review and/or operating room experience and should have an active license. * Identify complaint information from ...

Clinical Research Coordinator

Indianapolis, IN · On-site

$21.25 - $28.25/hr

Leverage electronic medical records (EMR) and chart review to track patient status, document trial activities, and maintain accurate records. * Seek guidance from the Clinical Research Coordinator as ...

RN - SLR

Richmond, IN · On-site

$31 - $41.75/hr

RN - Clinical Documentation Integrity Follows the American Health Information Management ... Maintains integrity and compliance in all chart reviews and CDI documentation and queries at all ...

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Clinical Chart Reviewer information

See Indiana salary details

$23

$34

$44

How much do clinical chart reviewer jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for clinical chart reviewer in Indiana is $34.18, according to ZipRecruiter salary data. Most workers in this role earn between $29.76 and $38.41 per hour, depending on experience, location, and employer.

What is a clinical chart reviewer?

A Clinical Chart Reviewer is responsible for evaluating medical records to ensure accuracy, compliance, and quality of documentation. They review patient charts for completeness, coding correctness, and adherence to healthcare regulations. This role is essential for improving patient care, supporting insurance claims, and minimizing documentation errors. Clinical Chart Reviewers often work for hospitals, insurance companies, or healthcare auditing firms. Strong knowledge of medical terminology, coding (ICD-10, CPT), and compliance guidelines is required.

What are the typical responsibilities of a clinical chart reviewer?

A Clinical Chart Reviewer is responsible for analyzing patient medical records to ensure completeness, accuracy, and compliance with established guidelines. Daily tasks often include reviewing documentation for correct coding, verifying that records meet regulatory standards, and identifying discrepancies or incomplete information that require follow-up. Clinical Chart Reviewers frequently collaborate with healthcare providers and coding staff to resolve any documentation issues or clarify medical details. This role requires consistent attention to detail and effective time management, as timely reviews are crucial for reimbursement, quality reporting, and maintaining patient care standards.

What are the key skills and qualifications needed to thrive as a clinical chart reviewer?

To thrive as a Clinical Chart Reviewer, you need a comprehensive understanding of medical terminology, clinical documentation practices, and healthcare regulations, often supported by a background in nursing or health information management. Familiarity with electronic health records (EHR) systems and coding software such as ICD-10 or CPT, as well as certifications like RHIA or CCS, is highly valuable. Strong attention to detail, analytical thinking, and effective communication are essential soft skills in this role. These abilities ensure accurate, compliant, and timely review of clinical documentation, which is critical for patient care quality and proper billing.

How to become a clinical chart reviewer?

To become a clinical chart reviewer, candidates typically need a healthcare background such as nursing, medical assisting, or health information management. Relevant skills include attention to detail, knowledge of medical terminology, and familiarity with electronic health records (EHR) systems. Some positions may require certification or experience in medical coding or auditing.

What are popular job titles related to Clinical Chart Reviewer jobs in Indiana?

For Clinical Chart Reviewer jobs in Indiana, the most frequently searched job titles are:

What cities in Indiana are hiring for Clinical Chart Reviewer jobs?

Cities in Indiana with the most Clinical Chart Reviewer job openings:

Infographic showing various Clinical Chart Reviewer job openings in Indiana as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Temporary. Highlights an 77% In-person, and 23% Remote job distribution, with an average salary of $71,089 per year, or $34.2 per hour.

Full-time

Re-posted 16 days ago


Job description

Medical Record Reviewer

Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is essential to ensuring our client records meet professional standards and support safe, high-quality care.

What You’ll Do

Clinical Record Audits & Documentation Review

  • Perform monthly audits of skilled nursing notes for all visiting nurses.
  • Provide direct, timely feedback to nurses on missing or incorrect documentation.
  • Re-audit records when deficiencies continue and notify the Clinical Manager as needed.
  • Audit OASIS assessments (SOC, ROC, Recertification, and Follow-Up) prior to transmission.
  • Audit at least 10% of each RN Case Manager’s charts monthly, focusing on recerts, SOC, and ROC visits.
  • Audit all documentation for newly hired RN Case Managers during their probation period.
  • Complete discharge record reviews and notify RN Case Managers when discharge charts need QA review.

Deficiency Identification & Follow-Up

  • Review charts for accuracy, completion, legal compliance, and proper care documentation.
  • Document deficiencies on the Case Conference Review form.
  • Notify nurses and department staff of deficiencies and required corrections.
  • Conduct discharge analysis when clients leave the agency.

Reporting & Collaboration

  • Track patterns and trends in documentation issues.
  • Communicate concerns and recurring problems to the Clinical Manager.
  • Support corrective action steps when needed.
  • Compile a quarterly audit report summarizing the previous three months.
  • Assist with ongoing chart review processes as assigned.

What We’re Looking For

  • Active RN license in the State of Indiana.
  • Strong understanding of home health documentation standards, Medicare/Medicaid requirements, and OASIS.
  • Excellent attention to detail and strong organizational skills.
  • Ability to communicate clearly, professionally, and constructively with nursing staff.
  • Comfortable working fully in-office in a fast-paced environment.
  • Previous QA or chart auditing experience preferred, but strong clinical documentation skills will also be considered.

Schedule & Work Environment

  • Monday–Friday schedule, in-office at the Fort Wayne location.
  • Works closely with the Clinical Manager, RN Case Managers, and field staff.
  • Computer-based role with consistent chart auditing and record review responsibilities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state, or local laws. We are committed to creating a diverse and inclusive workplace for all employees.