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Insurance Chart Review Jobs in Washington (NOW HIRING)

Cornerstone Care

Psychiatrist

Washington, DC · On-site

Insures that psychiatric care is completely and accurately documented in the EHR. * Initiates ... followed by chart review and director consultation. Maintains ultimate responsibility for ...

Mary's Center

Medical Assistant I

Washington, DC

$20 - $25.75/hr

Conducts pre-visit chart review or planning. * Cleans lab and patient rooms daily. * Stocks exam ... Health Insurance: medical, dental & vision - plus retirement options through 403(b) contribution ...

Mary's Center

Medical Assistant I

Adelphi, MD · On-site

$18/hr

Conducts pre-visit chart review or planning. * Cleans lab and patient rooms daily. * Stocks exam ... Health Insurance: medical, dental & vision - plus retirement options through 403(b) contribution ...

Mary's Center

Medical Assistant I

Washington, DC · On-site

$18/hr

Conducts pre-visit chart review or planning. * Cleans lab and patient rooms daily. * Stocks exam ... Health Insurance: medical, dental & vision - plus retirement options through 403(b) contribution ...

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See Washington salary details

$31.7K

$70.5K

$118.9K

How much do insurance chart review jobs pay per year?

As of May 29, 2026, the average yearly pay for insurance chart review in Washington is $70,541.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,800.00 and $94,600.00 per year, depending on experience, location, and employer.

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 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.
More about Insurance Chart Review jobs
What are popular job titles related to Insurance Chart Review jobs in Washington? For Insurance Chart Review jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Insurance Chart Review jobs in Washington look for? The top searched job categories for Insurance Chart Review jobs in Washington are:
What cities in Washington are hiring for Insurance Chart Review jobs? Cities in Washington with the most Insurance Chart Review job openings:
Insurance Chart Review jobs near you
Utilization Management Nurse (RN) - Part Time

Utilization Management Nurse (RN) - Part Time

Luminis Health

Annapolis, MD • On-site

$34 - $55/hr

Full-time, Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Luminis Health rating

8.1

Company rating: 8.1 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

71st of 864 rated healthcare providers

Job description

Position Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment.
Essential Job Duties:
1. Chart Review:
Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with external reviews, care coordinators, and providers; reconciles and records days authorized in EPIC
2. Denial Management:
Monitors and identifies patterns or trends in utilization management; monitors potential and actual denials and collaborates with care coordinator for any follow up necessary; documents actions taken to avoid denial; assists Care Coordinator in communicating with the patient denied hospital days with work toward resolution and discharge.
3. Care Coordination:
Collaborates with the Care Coordinator to achieve optimal and efficient patient outcomes while decreasing length of stay, avoidable delays and denied days; utilizes Physician Advisor and administrative personnel for unresolved issues; identifies opportunities for expedited appeals and collaborates with the care coordinator and Physician Advisor to resolve payer issues.
4. Process improvement initiatives
Participates in nursing unit and department clinical outcome projects as well as process improvement initiatives of care management.
Educational/Experience Requirements:
  • Bachelor's of Science in Nursing or Associate's degree in Nursing with equivalent experience. BSN must be achieved within 5 years of start date in the role.
  • Three years of clinical nursing in an acute care hospital setting.

RequiredLicense/Certifications:
  • Current RN license from Maryland Board of Nursing.

Working Conditions, Equipment, Physical Demands:
There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.
Physical Demands -
The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.
The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.
Pay Range
$34-$55 USD
Luminis Health Benefits Overview:• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs and more
*Benefit offerings based on employment status
Opt-in for text notifications!Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone.
To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time. Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.

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