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From Home Remote Rn Chart Review Jobs in Washington, PA

HEDIS Chart Retrieval Nurse

Pittsburgh, PA ยท Remote

$29.25 - $38.75/hr

You will coordinate record retrieval, review incoming records for completeness, upload ... Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license. * (compacted license ...

New

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

New

This position will predominantly work from home, standard daylight hours, Monday through Friday ... The Utilization Management (UM) Care Manager is responsible for utilization review of health plan ...

New

Work from Home

Pittsburgh, PA ยท Remote

$18/hr

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contract Pharmacy Support Call Center Representative to join our team. In this position, you will ...

Registered Nurse - RN

Pittsburgh, PA ยท Remote

$50 - $55/hr

We are seeking a dedicated Registered Nurse for a full-time position providing home health and ... Perform continuous record reviews to ensure regulatory compliance, quality service delivery, and ...

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

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From Home Remote Rn Chart Review information

See Washington, PA salary details

$22

$41

$65

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

As of Aug 29, 2026, the average hourly pay for from home remote rn chart review in Washington, PA is $41.74, according to ZipRecruiter salary data. Most workers in this role earn between $31.92 and $49.57 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.

What job categories do people searching From Home Remote Rn Chart Review jobs in Washington, PA look for?

The top searched job categories for From Home Remote Rn Chart Review jobs in Washington, PA are:

What cities near Washington, PA are hiring for From Home Remote Rn Chart Review jobs?

Cities near Washington, PA with the most From Home Remote Rn Chart Review job openings:

HEDIS Chart Retrieval Nurse

tenavistaffing

Pittsburgh, PA โ€ข Remote

$29.25 - $38.75/hr

Contractor

Medical, PTO

Posted yesterday

New


Job description

HEDIS Chart Retrieval Nurse

Position Overview

The HEDIS Chart Retrieval Nurse supports the health plan's annual HEDIS quality data collection efforts by obtaining medical records needed to validate HEDIS measures and close documentation gaps.

In this role, you will conduct outbound outreach to physician offices, hospitals, clinics, and medical records departments to request required documentation. You will coordinate record retrieval, review incoming records for completeness, upload documentation into the health plan's secure system, and track retrieval progress throughout the project.

This is a fast-paced, deadline-driven role requiring strong communication, organization, attention to detail, and an understanding of clinical documentation and HEDIS quality measures.

Key Responsibilities

  • Conduct outbound calls to physician offices, hospitals, clinics, and medical records departments to request records required for HEDIS measures.
  • Clearly communicate the purpose of each request, required documentation, applicable date ranges, and release-of-information requirements.
  • Coordinate with provider office staff and medical records departments to determine the appropriate method for securely transmitting records.
  • Follow up on outstanding requests to ensure medical records are received within established project timelines.
  • Review received documentation for completeness and confirm that requested records have been provided.
  • Upload medical records into the health plan's secure portal or designated chart retrieval platform.
  • Maintain accurate documentation of outreach attempts, provider contacts, pending requests, completed retrievals, and follow-up activity.
  • Escalate delays, access issues, incomplete records, and other retrieval barriers to the project lead or supervisor.
  • Manage an assigned call queue and daily outreach workload to meet productivity and retrieval targets.
  • Maintain compliance with HIPAA requirements and protect all confidential and protected health information.
  • Perform additional project-related duties as assigned.

Qualifications

  • Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license.
  • (compacted license preferred or PA)
  • Minimum of 1 year of clinical, managed care, quality, medical records, or related healthcare experience.
  • Prior HEDIS, medical record retrieval, chart review, or chart abstraction experience preferred.
  • Working knowledge of medical terminology, clinical documentation, and EMR/EHR systems.
  • Familiarity with HEDIS quality measures and healthcare quality reporting preferred.
  • Strong telephone communication and provider outreach skills.
  • Strong attention to detail and ability to accurately document and track multiple record requests.
  • Ability to work independently in a remote, deadline-driven environment.

Contract Details

  • Monday through Friday schedule
  • Eastern Time business hours
  • Contract position: This contract does not include health insurance, paid time off, paid holidays, or other employee benefits.

Application Requirements

  • Must be legally authorized to work in the United States.
  • Candidates must be willing to complete a background check and drug screening if required.
  • Candidates will be asked to provide their home address and complete employment eligibility questions during the application process.

Interested in Learning More?

Apply directly or reach out to learn more about the opportunity.