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From Home Remote Rn Chart Review Jobs (NOW HIRING)

Evening, night, and weekend differentials may apply * 100% Remote - Work From Home * Most schedules ... Accurately chart calls in our EHR and follow compliance protocols * Team Collaboration: Work ...

S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a private ... Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals.

REMOTE RN - Quality Review

Phoenix, AZ · Remote

$42 - $43.50/hr

Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) * ... Must have a secure home office setup if remote * Occasional extended hours may be required Salary ...

S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a private ... Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals.

Early Morning Triage Nurse - RN (Remote) Pay: $26/hour Position Type: Part-Time / Early Mornings ... Operating entirely from home, you will leverage your nursing background to conduct assessments.

We are seeking dedicated and qualified RNs to join our team as Remote Contingent Hurricane Response ... work from the comfort of your own home Pay rate of $25 per hour for 1099 contractor position ...

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From Home Remote Rn Chart Review information

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How much do from home remote rn chart review jobs pay per hour?

As of Jul 31, 2026, the average hourly pay for from home remote rn chart review in the United States is $44.91, according to ZipRecruiter salary data. Most workers in this role earn between $34.38 and $53.37 per hour, depending on experience, location, and employer.

What is the difference between From Home Remote Rn Chart Review vs From Home Remote LPN Chart Review?

AspectFrom Home Remote Rn Chart ReviewFrom Home Remote LPN Chart Review
Required CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote, home-basedRemote, home-based
Job ResponsibilitiesComprehensive chart review, clinical decision supportBasic chart review, data entry
Industry UsageHospitals, insurance companies, healthcare providers

While both roles involve remote chart review, Rn Chart Review requires an RN license and involves more complex clinical assessments, whereas LPN Chart Review requires an LPN license with more routine data review tasks. The RN role typically offers higher responsibility and pay, reflecting the advanced clinical skills needed.

More about From Home Remote Rn Chart Review jobs
What cities are hiring for From Home Remote Rn Chart Review jobs? Cities with the most From Home Remote Rn Chart Review job openings:
What are the most commonly searched types of Remote Rn Chart Review jobs? The most popular types of Remote Rn Chart Review jobs are:
What states have the most From Home Remote Rn Chart Review jobs? States with the most job openings for From Home Remote Rn Chart Review jobs include:
Infographic showing various From Home Remote Rn Chart Review job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 81% Full Time, 15% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $93,419 per year, or $44.9 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

Posted 8 days ago


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