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Commission Rn Chart Auditor Jobs in Philadelphia, PA

Pyramid Corporation

Registered Nurse

Philadelphia, PA · On-site

Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience which will include 1 year experience with HEDIS for ...

Pyramid Consulting

Registered Nurse

Philadelphia, PA · On-site

Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience which will include 1 year experience with HEDIS for ...

Pyramid Consulting

HEDIS RN or LPN

Mount Laurel, NJ · On-site

$30 - $39.50/hr

Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience which will include 1 year experience with HEDIS for ...

Pyramid Corporation

HEDIS RN or LPN

Mount Laurel, NJ · On-site

$30 - $39.50/hr

Must be a registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience which will include 1 year experience with HEDIS ...

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Integrated Resources INC

HEDIS RN/LPN

Trenton, NJ

$30.25 - $40/hr

... Auditors for HEDIS Audit Season or Certified Coders need for HEDIS 2016 Experience in HEDIS chart ... Qualifications RN/LPN license Additional Information Regards, Harshad Technical Recruiter ...

Samaritans At Last, LLC

Registered Nurse

Berwyn, PA · On-site

Registered Nurse We are seeking Registered Nurse to join our team Job Responsibilities: * Assess ... Create and maintain resident charts, noting all pertinent information within the chart * Assist ...

Melmark

Registered Nurse

Berwyn, PA

$40/hr

Must have valid PA RN license Melmark Overview Melmark is a nonprofit organization providing ... Participates in chart audits and chart reviews or other QA tasks to maintain quality of care.

Melmark

Registered Nurse

Berwyn, PA · On-site

$40/hr

Must have valid PA RN license Melmark Overview Melmark is a nonprofit organization providing ... Participates in chart audits and chart reviews or other QA tasks to maintain quality of care.

Integrated Resources INC

RN HEDIS /LPN

Trenton, NJ

$30.25 - $40/hr

Trenton NJ Immediate interview Experience in HEDIS chart audits or medical records reviews LPN or ... Position Comments: LPN Auditors for HEDIS Audit Season or Certified Coders need at least seven to ...

Melmark

Registered Nurse

Berwyn, PA · On-site

$40/hr

Registered Nurse This position assumes the primary role in providing and monitoring the healthcare ... Participates in chart audits and chart reviews or other QA tasks to maintain quality of care.

Samaritans At Last, llc

Registered Nurse

Berwyn, PA · On-site

We are seeking Registered Nurse to join our team Job Responsibilities: * Assess resident health ... Create and maintain resident charts, noting all pertinent information within the chart * Assist ...

AirSculpt

Registered Nurse (RN)

Philadelphia, PA · On-site

$42 - $46/hr

Registered Nurse (RN) Philadelphia, Pennsylvania, United States AirSculpt ® is a next-generation ... Effectively documenting clinical and surgical chart notes appropriately and accurately * Ensuring ...

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All JobsRn Chart Auditor JobsCommission Rn Chart Auditor JobsCommission Rn Chart Auditor Jobs in Philadelphia, PA

Commission Rn Chart Auditor information

See Philadelphia, PA salary details

$14

$24

$37

How much do commission rn chart auditor jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for commission rn chart auditor in Philadelphia, PA is $24.23, according to ZipRecruiter salary data. Most workers in this role earn between $19.66 and $27.88 per hour, depending on experience, location, and employer.

What is the difference between Commission Rn Chart Auditor vs Medical Records Reviewer?

AspectCommission Rn Chart AuditorMedical Records Reviewer
CredentialsRN license, auditing certificationsMedical background, certifications vary
Work EnvironmentHealthcare facilities, insurance companiesHospitals, clinics, insurance companies
Primary FocusAuditing clinical charts for compliance and accuracyReviewing medical records for completeness and correctness
Industry UsageHealthcare, insurance, billingHealthcare, legal, insurance

The main difference is that a Commission Rn Chart Auditor specializes in auditing clinical charts for compliance and accuracy, often with nursing credentials and specific auditing certifications. In contrast, a Medical Records Reviewer focuses on reviewing medical records for completeness and correctness, which may not require nursing licensure. Both roles are vital in healthcare and insurance industries but serve different functions related to record accuracy and compliance.

What are the most commonly searched types of Rn Chart Auditor jobs in Philadelphia, PA? The most popular types of Rn Chart Auditor jobs in Philadelphia, PA are:
What cities near Philadelphia, PA are hiring for Commission Rn Chart Auditor jobs? Cities near Philadelphia, PA with the most Commission Rn Chart Auditor job openings:
Commission Rn Chart Auditor jobs near you

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

Re-posted yesterday

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.