Duxbury, MA · On-site
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
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Duxbury, MA · On-site
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Quincy, MA · On-site
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
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Quincy, MA · On-site
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
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... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Scituate, MA · On-site
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
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Scituate, MA · On-site
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
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... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Rockland, MA · On-site
$70K - $136K/yr
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Rockland, MA · On-site
$70K - $136K/yr
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Quick apply
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Quick apply
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Rockland, MA · On-site
$70K - $136K/yr
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Rockland, MA · On-site
$70K - $136K/yr
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Quick apply
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Hingham, MA · On-site
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
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Hingham, MA · On-site
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Quincy, MA · On-site
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Quick apply
Quincy, MA · On-site
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Brookline, MA · On-site
$81K - $174K/yr
... chart review, prior authorizations, letters of medical necessity, and other program-related ... dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) ...
Brookline, MA · On-site
$81K - $174K/yr
... chart review, prior authorizations, letters of medical necessity, and other program-related ... dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Quick apply
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Jamaica Plain, MA · On-site
... chart review - Oversees the completion of diet slips three times a week for all patients with special dietary needs We offer competitive benefits, including: * Medical, dental & vision insurance
Jamaica Plain, MA · On-site
... chart review - Oversees the completion of diet slips three times a week for all patients with special dietary needs We offer competitive benefits, including: * Medical, dental & vision insurance
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
... chart review and observation. Updates the plan of care on an ongoing basis as goals are met and ... Communicates with all disciplines to insure quality of care. 7. Safety Awareness Fosters a "Culture ...
Kingston, MA · On-site
$19.10 - $27.30/hr
Scan front and back of insurance card and collect co-payment. Make sure primary physician is ... At the end of the day, call each no-show patient, noting this on the patient's chart. Review ...
Kingston, MA · On-site
$19.10 - $27.30/hr
Scan front and back of insurance card and collect co-payment. Make sure primary physician is ... At the end of the day, call each no-show patient, noting this on the patient's chart. Review ...
$30.6K - $38.2K
7% of jobs
$38.2K - $45.9K
5% of jobs
$50.1K is the 25th percentile. Wages below this are outliers.
$45.9K - $53.5K
22% of jobs
The median wage is $60.2K / yr.
$53.5K - $61.2K
17% of jobs
$61.2K - $68.8K
15% of jobs
$75.2K is the 75th percentile. Wages above this are outliers.
$68.8K - $76.4K
10% of jobs
$76.4K - $84.1K
2% of jobs
$84.1K - $91.7K
1% of jobs
$91.7K - $99.4K
11% of jobs
$99.4K - $107K
7% of jobs
$107K - $114.7K
2% of jobs
$30.6K
$68K
$114.7K
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.
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.
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.
7.7
Based on 52 frontline employees who took The Breakroom Quiz
158th of 887 rated healthcare providers
Job Description Summary
The community health nurse is a professional nurse knowledgeable in community health nursing who provides nursing care to patients in the community setting.
Job Description
1. Schedule
Completes weekly schedule and makes scheduled home visits per assignment. Schedules and prioritizes nursing visits according to client acuity and in accordance with the organization's emergency preparedness plan
2. Assessment/Documentation Admission Visit
For each admission to caseload, develops an individualized and holistic plan of care for the patient in collaboration with the patient/family/caregiver. Performs admission physical and psycho social assessment to determine appropriate plan of care.
3. Reassessment/Visit Documentation
For each visit, demonstrates the skills and judgment necessary to implement the plan of care, nursing interventions, and procedures necessary for the skilled care of the patient, as evidenced by chart review and observation. Updates the plan of care on an ongoing basis as goals are met and problems are identified.
4. Discharge/Documentation Discharge
For each discharge, documentation demonstrates improvement in outcomes or applicable variances are identified. Patients are appropriately prepared for discharge and all disciplines involved in the care of the patient are in agreement with plan.
5. Medication
Demonstrates knowledge of department policies and procedures for administering and documenting medications.Medication reconciliation is completed every visit and medication profile is reviewed and updated with changes as appropriate. DRR is run with each additional medication. Medication management is taught to each patient/family member each visit , including side effects.
6. Case Management
The case manager demonstrates responsibility and accountability for coordinating the plan of care for each patient on caseload. The patient /family is involved and participates in the plan of care. Communicates with all disciplines to insure quality of care.
7. Safety Awareness
Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment. Complies with current hand hygiene and infection control guidelines.
8. Professional Development
Responds to and participates in opportunities to maintain, enhance, and promote the image of the professional nurse.
9. Leadership Development
Serves in a formal or informal leadership role
10. Advanced Clinical Skills
Responds to and participates in opportunities to demonstrate the use of individual advance clinical skills and advance clinical knowledge. Assumes overall responsibility for own professional development by incorporating knowledge of evidence-based practice and research into clinical practice
Graduate of an accredited School of Nursing.
Bachelor of Science degree in nursing from a college/university accredited by the NLN is preferred.
Minimum Work Experience
One to two (1–2) years of medical/surgical nursing experience is preferred.
Write, speak, understand English. Basic Nursing competencies.
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South Shore Health is a leading provider of health services in South Weymouth, Massachusetts, US. As an integrated health system, the company has a broad offering ranging from primary and specialty care, home health and hospice services, to preventive and emergency care. Founded over a century ago, South Shore Health initially operated as a single hospital but has since morphed into a health network of providers and facilities for comprehensive care. The company's mission is to benefit the community by providing easily accessible, top-quality health services with an emphasis on wellness and prevention.
Health care and social assistance
5,001 - 10,000 Employees
South Weymouth, MA, US
1922
