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Full Time Remote Rn Chart Review Jobs in Maryland

RELI Group Inc.

Medical Review Nurse III

Baltimore, MD · On-site +1

$80K - $95K/yr

Registered Nurse, with a current unobstructed license to practice nursing in the United States ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

RELI GROUP INC

Medical Review Nurse III

Baltimore, MD · Remote

Registered Nurse, with a current unobstructed license to practice nursing in the United States ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...

SalvoHealth

Bi-Lingual, RN Care Coordinator

Annapolis, MD · On-site +1

$25 - $26/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Health, Vision, & Dental benefits for full-time employees and dependents * 200 hours (25 days) of ...

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Full Time Remote Rn Chart Review information

What is the difference between Full Time Remote Rn Chart Review vs Full Time Remote LPN Chart Review?

AspectFull Time Remote Rn Chart ReviewFull Time Remote LPN Chart Review
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote, healthcare documentation reviewRemote, healthcare documentation review
Industry UsageCommon in healthcare, insurance, and legal sectorsLess common, primarily in healthcare documentation
Job FocusDetailed medical record review, complex case analysisBasic record review, data entry, and documentation

While both roles involve remote healthcare documentation review, RNs typically handle more complex cases requiring clinical expertise, whereas LPNs focus on more routine record reviews. The choice depends on your credentials and desired level of clinical involvement.

How to become a full time remote RN chart reviewer?

To become a full-time remote RN chart reviewer, you typically need an active registered nurse license, experience in clinical settings, and strong attention to detail. Familiarity with electronic health record (EHR) systems and coding standards such as ICD or CPT is also important, along with good communication skills and the ability to work independently. Some positions may require specific certifications or training in medical record review or compliance.

What cities in Maryland are hiring for Full Time Remote Rn Chart Review jobs?

Cities in Maryland with the most Full Time Remote Rn Chart Review job openings:

Full Time Remote Rn Chart Review jobs near you

Utilization Review, RN Flex

Towson, MD • Remote

University of Maryland Medical System
See more jobs at University of Maryland Medical Systemexternal

Full-time

Posted 24 days ago

Job description

Job Requirements
  • Weekend only position. 
  • 4 - eight hour weekend shifts a month required. 
  • At least 1 major holiday required.
  • Only serious applicants should apply. 
  • Recent UR / MCG experience.
  • Most of the training will be remote however you will be required to start onsite

A Utilization Review (UR) Nurse is a registered nurse who bridges the gap between healthcare providers and insurance companies. They evaluate patient medical records to ensure treatments, procedures, and hospital stays are clinically necessary, cost-effective, and meet established insurance guidelines.

  • Medical Necessity Reviews: They verify that admissions, surgeries, and treatments are medically necessary by comparing patient charts to standardized, evidence-based guidelines like Milliman Care Guidelines (MCG) or InterQual.
  • Concurrent & Retrospective Reviews: They review ongoing hospital stays (concurrent) to authorize continuing care, and review charts after discharge (retrospective) to prevent claim denials and ensure accurate billing.
  • Insurance Liaison: They act as a go-between, submitting clinical data to insurance companies to secure prior authorizations and ongoing approvals so the hospital gets properly reimbursed.
  • Resource Optimization: They monitor the patient's progress to ensure they are in the appropriate level of care (e.g., observation vs. inpatient) and help coordinate discharges to lower levels of care.

Work Experience

Education

* 4 year/ Bachelor's degree in Nursing (Required)

Combination of relevant education and experience may be considered in lieu of degree.

Master's Degree in Nursing (Preferred)

Experience and Skills

Recent UR / MCG experience.

Required Skills: Strong Verbal Communications Skills, Strong Written Communications Skills, Excel Intermediate Level, PowerPoint - Intermediate Level, MS Word - Intermediate Level, Excellent Organizational Skills


Employment Type: OTHER

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