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Contractual Rn Legal Nurse Chart Review Jobs (NOW HIRING)

Legal Nurse

Tampa, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The ideal candidate will have a RN Degree coupled with work experience in a clinical setting ... Applicants should be experienced with medical record review and dealing with expert witnesses.

Legal Nurse

Tampa, FL

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The ideal candidate will have a RN Degree coupled with work experience in a clinical setting ... Obtains, reviews, analyzes, and summarizes medical records and other pertinent medical and legal ...

Legal Nurse

Asheville, NC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The ideal candidate will have a RN Degree coupled with work experience in a clinical setting ... Obtains, reviews, analyzes, and summarizes medical records and other pertinent medical and legal ...

Legal Nurse

Asheville, NC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The ideal candidate will have a RN Degree coupled with work experience in a clinical setting ... Obtains, reviews, analyzes, and summarizes medical records and other pertinent medical and legal ...

Nurse Analyst, Nurse Paralegal, Legal Nurse

San Antonio, TX · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

For the position we are seeking licensed registered nurses with experience as a Nurse Paralegal or Legal Nurse Consultant reviewing digital medical records and preparing medical chronologies. This ...

Registered Nurse - Med/Surg

Cooperstown, NY · On-site

$45.22 - $68.87/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Registered Nurse I: The RN I status is only appropriate for a new nurse in the first year of ... chart review and/or direct supervisory observation * Implements and records interventions ...

Nurse Analyst, Nurse Paralegal, Legal Nurse

San Antonio, TX · On-site

$75K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

For the position we are seeking licensed registered nurses with experience as a Nurse Paralegal or Legal Nurse Consultant reviewing digital medical records and preparing medical chronologies. This ...

LifeHealth Medical Review Nurse (MRN) is responsible for the initial chart review and chart case ... The RN works directly with Physicians and Examinees to ensure all medical information is gathered ...

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Contractual Rn Legal Nurse Chart Review information

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$38

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How much do contractual rn legal nurse chart review jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for contractual rn legal nurse chart review in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What is the difference between Contractual Rn Legal Nurse Chart Review vs Legal Nurse Consultant?

AspectContractual Rn Legal Nurse Chart ReviewLegal Nurse Consultant
CredentialsRegistered Nurse (RN) license, certification in legal nurse consulting often preferredRegistered Nurse (RN) license, certification in legal nurse consulting
Work EnvironmentRemote or onsite chart reviews for legal casesConsulting, case analysis, and expert witness preparation
Employer & IndustryLegal firms, insurance companies, healthcare organizationsLegal firms, insurance companies, healthcare consulting firms

Contractual Rn Legal Nurse Chart Review involves reviewing medical records for legal cases, focusing on chart analysis. Legal Nurse Consultants provide broader case analysis, expert testimony, and legal advice. Both roles require RN credentials and legal training, but their scope and responsibilities differ.

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Infographic showing various Contractual Rn Legal Nurse Chart Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

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

ProgenyHealth LLC

Remote

$90K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

Job Type
Full-time
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.
Salary Description
90,000 - 120,000