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Medical Chart Audit Jobs (NOW HIRING)

Medicalodges, Inc.

Medical Records Nurse

Paola, KS · On-site

Medical Records Nurse We Own It!. Medicalodges is a 100% employee-owned organization with over 30 ... Updating Nursing Chart Audit monthly using audit forms as well as computer audit. * Performing ...

Medicalodges

Medical Records Nurse

Paola, KS · On-site

Description Medical Records Nurse We Own It!. Medicalodges is a 100% employee-owned organization ... Updating Nursing Chart Audit monthly using audit forms as well as computer audit. * Performing ...

APLA Health

Clinic Manager II

Los Angeles, CA

$33.23 - $41.67/hr

Perform weekly medical chart audits (per the chart audit tool) to ensure that demographic information is correctly entered in patient charts; appropriate documents are scanned and/or updated in ...

APLA Health

Clinic Manager II

Los Angeles, CA · On-site

$33.23 - $41.67/hr

Perform weekly medical chart audits (per the chart audit tool) to ensure that demographic information is correctly entered in patient charts; appropriate documents are scanned and/or updated in ...

Cedar Manor

Medical Records Clerk

Ossining, NY

$22.50 - $23.25/hr

Review and analyze records to ensure internal consistency on a quarterly basis using the facility's medical record chart audit tool * File required documents in the resident chart * Assist in ...

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Ethos

RN Hospice Clinical Director

Petaluma, CA

Conduct chart audits and support medical record quality, timeliness, and compliance. Participate in orientation, in-service education, and ongoing training for clinical staff. Evaluate, coach ...

Ethos

RN Hospice Clinical Director

Petaluma, CA · On-site

... chart audits and support medical record quality, timeliness, and compliance. • Participate in orientation, in-service education, and ongoing training for clinical staff. • Evaluate, coach ...

Ethos

RN Hospice Clinical Director

Petaluma, CA · On-site

... chart audits and support medical record quality, timeliness, and compliance. · Participate in orientation, in-service education, and ongoing training for clinical staff. · Evaluate, coach, counsel ...

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Naphcare, Inc.

Medical Record Coordinator

Montgomery, AL

$17.50 - $22.75/hr

The Medical Records Coordinator , coordinates compliance activities in our facilities in ... In this role, you will assist site leadership by conducting regular internal audits, chart reviews ...

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Naphcare, Inc.

Medical Record Coordinator

Montgomery, AL · On-site

$17.50 - $22.75/hr

The Medical Records Coordinator , coordinates compliance activities in our facilities in ... In this role, you will assist site leadership by conducting regular internal audits, chart reviews ...

NaphCare

Medical Record Coordinator

Montgomery, AL · On-site

$17.50 - $22.75/hr

The Medical Records Coordinator , coordinates compliance activities in our facilities in ... In this role, you will assist site leadership by conducting regular internal audits, chart reviews ...

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Medical Chart Audit information

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How much do medical chart audit jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for medical chart audit in the United States is $21.62, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $27.40 per hour, depending on experience, location, and employer.

How do I become a medical auditor?

To become a medical auditor, typically one needs a background in healthcare, such as a registered nurse, medical coder, or healthcare administrator, along with knowledge of medical records and coding systems like ICD and CPT. Certification programs like the Certified Professional Medical Auditor (CPMA) from the American Academy of Professional Coders (AAPC) can enhance job prospects. Relevant skills include attention to detail, understanding of healthcare regulations, and proficiency with auditing tools and electronic health records (EHR) systems.

What are the key skills and qualifications needed to thrive as a Medical Chart Auditor, and why are they important?

To thrive as a Medical Chart Auditor, you need in-depth knowledge of medical terminology, coding standards (ICD-10, CPT), and healthcare regulations, often backed by credentials such as RHIA, RHIT, or CPC. Familiarity with electronic health record (EHR) systems, auditing software, and compliance tools is typically required. Attention to detail, analytical thinking, and strong written communication are vital soft skills for accuracy and effective reporting. These skills ensure precise audits, regulatory compliance, and improved healthcare quality.

What are some common challenges encountered in a Medical Chart Audit role, and how can they be addressed?

Medical Chart Auditors often face challenges such as inconsistent documentation, incomplete records, and navigating varying electronic health record (EHR) systems. To address these issues, auditors must develop strong attention to detail, maintain up-to-date knowledge of compliance standards, and communicate effectively with clinical staff to clarify discrepancies. Collaborating with healthcare teams and staying organized can help ensure audits are thorough and accurate while maintaining positive working relationships.

How to become a nurse chart auditor?

To become a nurse chart auditor, you typically need a registered nurse (RN) license and experience in clinical nursing or medical records. Additional training in medical coding, compliance, or auditing standards can enhance qualifications, and familiarity with electronic health record (EHR) systems is often required.

What does a medical chart auditor do?

A medical chart auditor reviews patient records to ensure accuracy, completeness, and compliance with healthcare regulations and billing standards. They analyze documentation, identify errors or discrepancies, and may use auditing tools or software to support their assessments, often working in healthcare or insurance environments.

What is a medical chart audit?

A medical chart audit is a systematic review of patient medical records to evaluate the accuracy, completeness, and quality of documentation. The process helps ensure compliance with healthcare regulations, support accurate billing and coding, and identify areas for improvement in patient care. Medical chart audits can be conducted internally or by external reviewers and are essential for maintaining high standards in healthcare practices.

Is it hard to become a medical auditor?

Becoming a medical auditor typically requires a background in healthcare, such as nursing, coding, or medical billing, along with knowledge of medical records and coding systems like ICD and CPT. Certification, such as the Certified Professional Medical Auditor (CPMA), can improve job prospects, but the difficulty varies based on prior experience and education. Strong attention to detail and analytical skills are essential for success in this role.

What is the difference between Medical Chart Audit vs Medical Records Technician?

AspectMedical Chart AuditMedical Records Technician
CertificationsOften requires knowledge of coding and compliance standardsTypically certified in health information management (RHIT or RHIA)
Work EnvironmentHealthcare facilities, clinics, insurance companiesHospitals, clinics, health information departments
Primary ResponsibilitiesReviewing and ensuring accuracy of medical records for compliance and qualityOrganizing, coding, and managing patient records

Medical Chart Audits focus on reviewing and verifying the accuracy and compliance of medical records, often requiring knowledge of coding and healthcare regulations. Medical Records Technicians primarily organize, code, and maintain patient records. While both roles work within healthcare settings and handle medical documentation, audits emphasize quality assurance and compliance, whereas technicians focus on record management and data entry.

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Medical Chart Audit jobs near you
Medical Records Nurse

Medical Records Nurse

Medicalodges, Inc.

Paola, KS • On-site

Other

Retirement, PTO

Posted 15 days ago

Medicalodges rating

5.5

Company rating: 5.5 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

161st of 232 rated social care providers

Job description

Medical Records Nurse

We Own It!. Medicalodges is a 100% employee-owned organization with over 30 skilled nursing and assisted living facilities committed to providing the highest quality of care to our residents. If you have a passion for providing seniors with outstanding care we want to talk with you today!

Job Responsibilities:

  • Keep all current medical files up-dated and filed in an organized manner.
  • Assemble charts for use upon admission of a new resident. Disassemble resident charts upon dismissal and following up to ensure the record is complete and in proper order.
  • Updating Nursing Chart Audit monthly using audit forms as well as computer audit.
  • Performing daily spot check of MAR's and following up timely, accurate documentation on accidents/incidents, condition changes, etc.
  • Maintaining and organizing the central supply room and the inventory control list for all items received or removed from central supply.
  • Monitoring Medicare certifications and recertifications for completion and timeliness of physician's signature.
  • Maintaining accurate listing of resident diagnoses and making corrections when necessary
  • Antibiotic Stewardship Duties: Implement or oversee the implementation of Core Elements of Antibiotic Stewardship. Proper documention of order. Review clinical approriateness of order. 48 hour follow up.
  • Create and present monthly anitbiotic use reports to present during QAPI meetings with the Medical Director and Consultant Pharmacists.
  • Other duties as assigned

Job Requirements:

  • Current LPN or RN license for the state in which the facility is located.
  • Knowledge of basic medical terminology
  • Knowledge of healthcare regulations and laws including state and federal regulations.
  • Ability to perform basic clerical/office skills and file management skills
  • Excellent attention to detail
  • Strong written and verbal communication skills

Company Benefits:

  • Paid Time Off
  • Employee Stock Ownership Program
  • Insurance benefits & 401k
  • Educational Assistance

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