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Hourly Rn Medical Record Review Jobs (NOW HIRING)

St Johns Regional Medical Center

RN III ICU

Oxnard, CA

$55.55 - $79.06/hr

Feedback, Medical Record Review, Observation. * Advance Directives: Consistently and accurately ... Registered Nurse: CA * Basic Life Support - BLS * Advanced Cardiac Life Support - ACLS Preferred

Dignity Health

RN II FSP Telemetry

Oxnard, CA · On-site

$52.90 - $75.30/hr

Feedback, Medical Record Review, Observation. * Advance Directives: Consistently and accurately ... Registered Nurse: RN * Basic Life Support - CPR Preferred * One (1) year of Step Down level ...

Integrated Resources INC

HEDIS RN / LPN

Nashville, TN

$29.25 - $38.75/hr

Must have active RN / LPN license in the state of Tennessee or compact state Knowledge and ... The contract nurse is responsible for retrieval, review, and abstraction of medical record data ...

CommonSpirit Health

RN III NICU

Oxnard, CA · On-site

Feedback, Medical Record Review, Observation. * Accurately recognizes and provides appropriate ... The RN consistently and accurately performs medication admixtures to IV solutions as prescribed by ...

New

CommonSpirit Health

RN III NICU

Oxnard, CA · On-site

Feedback, Medical Record Review, Observation. * Accurately recognizes and provides appropriate ... The RN consistently and accurately performs medication admixtures to IV solutions as prescribed by ...

New

StateJobsNY

Registered Nurse 1 Temp Hourly

Ossining, NY · On-site

$4.0K/wk

With an aging population, their medical needs have and will continue to increase. A temp hourly ... The Registered Nurse 1 duties may include, but are not limited to: injections, feedings, wound care ...

StateJobsNY

Registered Nurse 1 Temp Hourly

Ossining, NY · On-site

$53.19/hr

With an aging population, their medical needs have and will continue to increase. A temp hourly ... The Registered Nurse 1 duties may include, but are not limited to: injections, feedings, wound care ...

Flagstar Nursing

PA

$50/hr

... Medical, dental, vision, and other insurance options available · Opportunity to earn PTO · Lucrative Referral Bonuses Ask about Contract Opportunities, with Rates up to $50 Hourly! RN/Registered ...

Apply Early

Healthcare Support Staffing

HEDIS Nurse

Shelton, CT

$30.25 - $40/hr

HEDIS RN/LPN Location: Shelton, CT Daily Responsibilities: * Performs provider/practitioner medical record reviews, abstraction and data entry for HEDIS and HEDIS-like measures * Reviews assigned ...

Trinityhealth

Outpatient- Registered Nurse (RN)

Troy, NY

$36 - $47.52/hr

Review and update medication list to ensure accurate and complete list in electronic medical record ... stated hourly rates. The pay range may also vary within the stated range based on location. Our ...

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How much do hourly rn medical record review jobs pay per hour?

As of Jul 2, 2026, the average hourly pay for hourly rn medical record 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 are some typical challenges faced by Hourly RNs conducting medical record reviews, and how can these be managed?

Hourly RNs involved in medical record reviews often encounter challenges such as incomplete documentation, inconsistencies across records, and time-sensitive deadlines. Managing these issues requires strong attention to detail, effective communication with clinical staff to clarify missing information, and good organizational skills to ensure timely completion of reviews. Many organizations provide structured training and use digital tools to streamline the process, which helps RNs stay efficient and maintain high-quality standards in their assessments.

What is the difference between Hourly Rn Medical Record Review vs Medical Records Coordinator?

AspectHourly Rn Medical Record ReviewMedical Records Coordinator
CredentialsRegistered Nurse (RN) licenseHealth information management certification or relevant experience
Work EnvironmentHealthcare facilities, insurance companies, legal settingsHospitals, clinics, healthcare offices
Job FocusReviewing and analyzing medical records for accuracy and complianceManaging, organizing, and maintaining medical records systems

Hourly Rn Medical Record Review involves analyzing medical records for accuracy, compliance, and quality, requiring RN licensure. Medical Records Coordinators focus on organizing and managing medical records systems. Both roles are essential in healthcare documentation but differ in responsibilities and credentials.

What does an Hourly RN Medical Record Review do?

An Hourly RN Medical Record Review nurse is a registered nurse who is responsible for reviewing patient medical records on an hourly or per-case basis. Their primary duties include ensuring the accuracy and completeness of medical documentation, verifying compliance with healthcare regulations, and sometimes assisting with insurance or legal reviews. These nurses use their clinical expertise to assess records for quality of care, identify discrepancies, and provide recommendations for improvement. This role is often remote or contract-based, offering flexibility for experienced RNs.

What are the key skills and qualifications needed to thrive as an Hourly RN Medical Record Review, and why are they important?

To thrive as an Hourly RN Medical Record Review, you need a valid RN license, strong clinical judgment, and in-depth understanding of medical terminology and healthcare documentation standards. Familiarity with electronic health record (EHR) systems, utilization review software, and possibly certifications like Certified Professional in Healthcare Quality (CPHQ) are typically required. Attention to detail, analytical thinking, and effective written communication are standout soft skills in this role. These skills ensure accurate, compliant, and timely medical record reviews that support patient care quality and regulatory requirements.
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Hourly Rn Medical Record Review jobs near you
Infographic showing various Hourly Rn Medical Record Review job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 69% Full Time, 23% Part Time, and 6% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $93,419 per year, or $44.9 per hour.
Utilization Review RN - Per Diem*

Utilization Review RN - Per Diem*

CARSON VALLEY HEALTH

Gardnerville, NV • On-site

Other

This job post has expired 1 day ago. Applications are no longer accepted.

Carson Valley Health rating

8.4

Company rating: 8.4 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Utilization Review RN - Per Diem

*IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.

Position Summary:

Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance company requirements for reimbursement.

Position Requirements:

Minimum Education

  • A Bachelor's Degree in Nursing preferred; three (3) years of clinical care or nursing experience; OR an equivalent combination of education and experience AND (2) two years' experience Utilization Review.

Certificate Preferred

  • CCM (certification in case management) is preferred.

License Required

  • Must be licensed as a Registered Nurse by the State of Nevada, and remain active with all annual licensing requirements.

Minimum Work Experience

  • Minimum of 1 year of case management or utilization management experience.
  • Knowledge of InterQual or McKesson criteria preferred.
  • Knowledge in conducting a medical record review for medical necessity.
  • Knowledge of basic ICD-10, CPT coding knowledge preferred.
  • Basic knowledge of regulations as set forth by The Centers for Medicare Medicaid Services.
  • Skill in operating a personal computer utilizing a variety of software applications.
  • Strong written and oral communication skills
  • Skill and ability to work independently
Position Essential Functions:

Chart Review

  • Conducts chart review to determine that InterQual-based care criteria is met.
  • Assist in determining if patients are in the correct hospital setting
  • Review elective surgery schedule
  • Review outpatient charts (observation)
  • Obtains appropriate patient records as required by payor agencies and initiates the UR Medical Director as necessary for unwarranted admissions

Hospital Reimbursements

  • Understand and demonstrate the requirements needed to maximize reimbursement to the hospital
  • Assist in obtaining authorizations as needed; including follow-up
  • Respond to insurance providers in a timely and thorough manner
  • Communicates with various hospital departments in a meaningful manner
  • Assists in ensuring appropriate room charges, patient status, discharge disposition, etc.
  • Reviews denials and collaborates on appeals of denials
  • Communicates with HIM staff and resolves discrepancies

Knowledge

  • Condition 44 documentation and requirement; HINN notification letters, ABN-advance beneficiary notice, Important Letter from Medicare, etc
  • Maintains practices consistent with the hospital's utilization review (UR) plan
  • Reviews the plans components and is a member of the utilization review committee
  • Obtains data and statistics addressed in the hospital's UR plan and presents information as needed
  • Ensures appropriate and cost-effective healthcare services to patients

Documentation

  • Demonstrates understanding and supports clinical documentation improvement strategies
  • Ability to efficiently locate priority clinical information in a medical record, and to critically interpret that information as part of a treatment plan.
  • Analyze clinical information to identify areas with potential for documentation improvement
  • Demonstrates collaborative work relationship with coding staff to assure documentation of discharge diagnosis and co-morbidities are complete and accurately reflect the patient's clinical status and care.
  • Reviews medical records concurrently, recognizes opportunities for documentation improvement, and follows up with appropriate staff.
  • Facilitates modifications to clinical documentation through collaborative interactions with physicians, nurses, and ancillary staff.

Carson Valley Health is proud to be recognized as a finalist in the "Best Places to Work" - Northern Nevada, 2021, 2022, 2024, 2025 & 2026!

We look forward to welcoming you to our team!

Per diem positions have no guaranteed hours or set schedule. The position will fill in for individuals who take unplanned and/or planned time off.

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