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Insurance Chart Review Jobs in California (NOW HIRING)

Kaweahhealth

Clinical UR Specialist

Visalia, CA · On-site

During chart review, is aware of criteria for quality variances. Complies with Kaweah Health Policy ... insurance companies. Initiates further action by following guidelines set forth in the Hospital ...

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All JobsInsurance Chart Review JobsInsurance Chart Review Jobs in California

Insurance Chart Review information

See California salary details

$27.6K

$61.5K

$103.6K

How much do insurance chart review jobs pay per year?

As of Jul 27, 2026, the average yearly pay for insurance chart review in California is $61,467.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,400.00 and $82,400.00 per year, depending on experience, location, and employer.

What are some common challenges faced by professionals in Insurance Chart Review roles?

Professionals in Insurance Chart Review often encounter the challenge of keeping up with constantly changing insurance policies, coding guidelines, and healthcare regulations. Maintaining accuracy while reviewing large volumes of charts and navigating incomplete or unclear documentation can also be demanding. Additionally, balancing productivity targets with the need for thoroughness requires strong organizational skills. Successfully addressing these challenges is vital to ensuring accurate claims processing and supporting positive patient outcomes.

What is an Insurance Chart Review job?

An Insurance Chart Review job involves reviewing medical records and documentation to ensure accuracy, compliance, and proper coding for insurance claims. Professionals in this role assess patient charts to verify that services billed are medically necessary and supported by records. They may work for insurance companies, healthcare providers, or third-party auditors to minimize errors and prevent fraud. Strong attention to detail and knowledge of medical terminology, billing codes, and insurance guidelines are essential for success in this role.

What are the key skills and qualifications needed to thrive in the Insurance Chart Review position, and why are they important?

To excel in Insurance Chart Review, you need a strong understanding of medical terminology, coding practices, and healthcare documentation, often supported by certifications such as CPC, CCS, or RHIT. Familiarity with electronic health records (EHRs), coding software, and insurance company systems is typically required. Attention to detail, analytical thinking, and effective written communication are standout soft skills for this role. These competencies ensure accurate, compliant reviews that support insurance claims processing and minimize errors.

What are popular job titles related to Insurance Chart Review jobs in California? For Insurance Chart Review jobs in California, the most frequently searched job titles are:
What job categories do people searching Insurance Chart Review jobs in California look for? The top searched job categories for Insurance Chart Review jobs in California are:
Insurance Chart Review jobs near you
Infographic showing various Insurance Chart Review job openings in California as of July 2026, with employment types broken down into 100% Full Time. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $61,467 per year, or $29.6 per hour.

Chart Analyst

SCHARP - Southern California Health & Rehabilitation Program

Lynwood, CA • On-site

Other

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

Job description

Under the direction of the Program Director, the Chart Analyst will support all aspects of ensuring that program staff are adhering to service and documentation standards consistent with excellent client care and in compliance with county, state, and federal contractual regulatory guidelines.


Position Qualifications

  • Master’s degree in Social Work, Marriage and Family Counseling, Psychology.
  • Registered with the State of California Board of Behavioral Science Examiners for the area of specialty.
  • Must be able to pass California State Department of Justice criminal background investigation, Live Scan and/or fingerprinting.
  • Must have extensive quality improvement, DMH documentation and behavioral health chart review experience.
  • Must be detail oriented and possess effective verbal and written communication and teamwork skills with an ability to manage and support quality improvement efforts.
  • Ability to troubleshoot issues and partner with all levels of employees to identify solutions.
  • Know and comply and agency policies and procedures, HIPAA, LAC-DMH, Medi-Cal policies and documentation guidelines and other state/federal regulations related to quality assurance and management.
  • Basic computer skills and literacy are required to use the agency electronic health record. Staff must be able to logon, type, use a mouse and navigate through various screens or windows to complete daily chart documentation.
  • Demonstrate strong clinical documentation.
  • Must have valid California Driver's license and the availability of a car with adequate insurance.


Primary Duties:

  • Utilize and/or develop standardized quality assurance tools for the systematic review of services to meet contractual guidelines.
  • Monitor clinical documentation, capture data and measure compliance with all regulatory requirements using chart review tools.
  • Builds relationships with clinical staff to better serve as an onsite expert on quality and compliance issues.
  • Review 85 charts per month (including new cases enrolled, cases discharged, and random selection of active cases to meet monthly quota)utilizing the Case Record Review tool to ensure documentation meets SCHARP standard.
  • Communicate with management and clinical staff regarding documentation that is out of compliance and follow up to ensure items are corrected and re-submitted.
  • May assist with organizing and facilitating agency trainings.
  • Performs a wide-range of professional work in multiple administration functions within an organizational unit analysis and project management.
  • Assists with developing and conducting special studies and research initiatives by designing survey instruments, gathering data and information from department staff, developing data analysis tools, conducting statistical analyses, initiating literature reviews, etc.
  • Attend and participate in routinely scheduled program, department and agency staff meetings.
  • Assist with preparation of County and State audits, as well as prepares reports in responses to audits and plans of corrections.
  • Provide monthly report to Program Director of chart review including average scores, areas of deficiency, and areas further training may be needed.
  • Other duties as assigned.

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