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Insurance Chart Review Jobs in Georgia (NOW HIRING)

Reviews, evaluates and processes release of information requests. SummitRidge Hospital -is a place ... insurance offering, a physician network and various related services located all over the U.S ...

Reviews, evaluates and processes release of information requests. SummitRidge Hospital -is a place ... insurance offering, a physician network and various related services located all over the U.S ...

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

Nurse Practitioner

Dalton, GA ยท On-site

$80 - $85/hr

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

Nurse Practitioner

Morganton, GA ยท On-site

$80 - $85/hr

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

Physician Assistant

Dalton, GA ยท On-site

$80 - $85/hr

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

Physician Assistant

Dalton, GA ยท On-site

$80 - $85/hr

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

Physician Assistant

Morganton, GA ยท On-site

$80 - $85/hr

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

Physician Assistant

Albany, GA ยท On-site

$80 - $85/hr

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

Nurse Practitioner

Dalton, GA ยท On-site

$80 - $85/hr

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

Physician Assistant

Morganton, GA ยท On-site

$80 - $85/hr

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

... insurance exams requiring no follow-up or medical management. Available areas: * Fort Dodge, IA ... Extended 60-minute appointments allow for comprehensive chart review & physical examinations. No ...

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Showing results 1-20

Insurance Chart Review information

See Georgia salary details

$23.6K

$52.6K

$88.7K

How much do insurance chart review jobs pay per year?

As of Jun 27, 2026, the average yearly pay for insurance chart review in Georgia is $52,591.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,200.00 and $70,500.00 per year, depending on experience, location, and employer.

What is the best insurance company to work for remotely?

For insurance chart review roles, many companies offer remote positions, with well-known insurers like UnitedHealth Group, Cigna, and Humana providing remote work opportunities. These companies often require familiarity with medical coding, claims processing, and relevant certifications, and they typically support flexible schedules for remote employees.

How to become a medicare reviewer?

To become a Medicare reviewer, typically one needs a background in healthcare, such as nursing, medical coding, or health administration, along with knowledge of Medicare policies. Certification in medical coding or billing and familiarity with electronic health records (EHR) systems can enhance job prospects. Employers often require attention to detail, analytical skills, and the ability to review medical documentation accurately.

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 skills do you need to be a medical reviewer?

A medical reviewer in insurance chart review needs strong clinical knowledge, attention to detail, and the ability to interpret medical records accurately. Good communication skills and familiarity with coding systems like ICD and CPT are also important, along with proficiency in medical software and understanding insurance policies.

How to become a chart reviewer?

To become an insurance chart reviewer, candidates typically need a background in healthcare, such as nursing, medical coding, or health information management. Relevant skills include attention to detail, knowledge of medical terminology, and familiarity with electronic health record systems; certifications like CPC or CCS can enhance job prospects. Most positions require prior experience in medical record review or coding and may involve working in an office or remote environment.

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.

Infographic showing various Insurance Chart Review job openings in Georgia as of June 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $52,591 per year, or $25.3 per hour.

QUALITY IMPROVEMENT SPECIALIST II, QUALITY IMPROVEMENT/PATIE

SGMC Health

Valdosta, GA โ€ข On-site

Full-time, Part-time

Medical, Life, Retirement, PTO

Posted yesterday


Job description

Description
WHAT IT'S LIKE AT SGMC HEALTH
Purpose. No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.
Excellence. We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service.
Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment.
Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.
WHY YOU WILL LOVE SGMC HEALTH
SGMC has great benefit options, depending on the role that you are going into- including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some of these great benefit options are listed below:
  • Low Healthcare Insurance Premiums
  • 401(k) with employer match
  • Paid Time Off (PTO)
  • Employee discounts
  • Company paid life insurance
  • Short-Term and Long-Term Disability
  • Cancer Insurance
  • Accident Insurance
  • Pet Insurance
  • Tuition Reimbursement
  • On-the-job training and skills development
  • Opportunities for growth and advancement
  • Employee Assistance Program

JOB LOCATION : Main Campus
DEPARTMENT: QUALITY IMPROVEMENT/PT SAFETY
SCHEDULE: Full Time, 8 HR Day Shift,
POSITION SUMMARY
Responsible for Chart review and data abstraction in support of quality measurement, analysis, and improvement across SGMC. Participates in regulatory requirements/standards which may include core measures, accreditation, registries and other quality metrics. The Quality Improvement Specialist II develops interventions through interdepartmental collaboration and planning, multi-disciplinary communication and implementation/analysis of new care delivery processes impacting quality metrics. Serve as a facilitator for education and training regarding quality improvement, accreditation standards, internal process improvements and external regulatory requirements. Assist in achieving goals of high quality, cost effective patient care and services, while demonstrating compliance with Joint Commission, CMS and other regulatory agencies. Leads collaborative efforts with the Director by providing complete, accurate and timely feedback on status of compliance and collaboration for improvement of quality metrics and/or accreditation standards. Reports unusual or questionable situations to Director/CMO. Facilitate compliance with quality metrics through collaborative planning, coordination, implementation, and evaluation of new care delivery processes, documentation processes and data. Assists the organization in maintaining preparedness for accreditation and licensure surveys. Identify specific patient populations requiring Core Measure and registry documentation, Sepsis, Stroke, NCDR) utilizing electronic processes and when indicated, concurrent chart reviews. Perform daily chart review and documentation of core measures, registry and selected quality indicators as directed. Responds to requests for data aggregation and analysis. Educates Providers/clinical staff on compliance with quality measures/reporting. Serve as a primary liaison to IS for integration of electronic processes impacting quality metrics/data. Facilitates patient safety activities as assigned. Performs other duties as requested or assigned.
KNOWLEDGE, SKILLS & ABILITIES
  • Required Clinical Healthcare degree
  • Minimum of five years' experience in healthcare.
  • Knowledgeable in Information Management, Healthcare Information, Healthcare Administration, Business Administration.
  • Strong analytical skills.
  • Demonstrated data management skills.
  • Strong organizational skills.
  • Demonstrated ability to communicate effectively verbally and in writing.
  • Ability to work independently as well as participate in interdisciplinary meeting.
  • Competency in PC use and software packages.
WORKING CONDITIONS - ADA INFORMATION
Office setting. Requires considerable setting. May be subject to moderate to high stress at times. Requires light lifting (not to exceed 25 pounds). Requires high computer usage.
SEE WHAT ALL OF THE HYPE IS ABOUT
https://www.youtube.com/watch?v=_DeqKw8xk54