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Medical Chart Review Auditor Jobs (NOW HIRING)

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Conduct comprehensive and objective medical chart reviews with honesty and integrity. * Produce ...

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Conduct comprehensive and objective medical chart reviews with honesty and integrity. * Produce ...

Managed Medical Review Organization

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Conduct comprehensive and objective medical chart reviews with honesty and integrity. * Produce ...

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Medical Chart Review Auditor information

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How much do medical chart review auditor jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for medical chart review auditor 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.

What is the difference between Medical Chart Review Auditor vs Medical Records Technician?

AspectMedical Chart Review AuditorMedical Records Technician
CredentialsTypically requires coding certifications (e.g., CPC, CCS), healthcare experienceHigh school diploma or equivalent, often certified in medical records management
Work EnvironmentHealthcare facilities, insurance companies, or consulting firmsHospitals, clinics, or healthcare offices
Industry UsageUsed for insurance claims, compliance, and quality auditsManaging and organizing patient records
Search/Comparison IntentUnderstanding roles related to medical record review and auditingManaging and maintaining medical records

The Medical Chart Review Auditor focuses on reviewing and auditing medical records for accuracy, compliance, and coding, often requiring specialized certifications. In contrast, the Medical Records Technician manages and organizes patient records, ensuring proper documentation and accessibility. While both roles work within healthcare settings, their responsibilities and required credentials differ significantly.

What are the key skills and qualifications needed to thrive as a medical chart review auditor?

To thrive as a Medical Chart Review Auditor, you need a strong understanding of medical terminology, coding systems (such as ICD-10 and CPT), and healthcare compliance regulations, often supported by a degree in health information management or a related field. Proficiency with electronic health record (EHR) systems, coding software, and auditing tools, along with certifications like RHIA, RHIT, or CPC, is typically required. Attention to detail, analytical thinking, and effective communication skills distinguish top performers in this role. These skills are crucial for ensuring accurate documentation, regulatory compliance, and high-quality patient care within healthcare organizations.

What is a medical chart review auditor?

Medical chart review auditors are healthcare professionals who examine patient medical records to ensure accuracy, completeness, and compliance with regulatory standards. They review documentation to verify that diagnoses, treatments, and billing codes are correctly recorded. Their work helps healthcare organizations maintain high-quality patient care and avoid errors or fraud. Medical chart review auditors often collaborate with clinical staff and may work for hospitals, insurance companies, or third-party auditing firms.

What are some common challenges faced by medical chart review auditors in ensuring compliance and accuracy?

Medical Chart Review Auditors often encounter challenges such as incomplete or inconsistent documentation, varying chart formats across departments, and staying updated with regulatory changes. These professionals must carefully navigate discrepancies while maintaining patient confidentiality and upholding industry standards like HIPAA. Collaboration with healthcare providers is frequently necessary to clarify ambiguous records, making strong communication skills and attention to detail essential for success in this role.
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What cities are hiring for Medical Chart Review Auditor jobs? Cities with the most Medical Chart Review Auditor job openings:
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Medical Chart Review Auditor jobs near you
Infographic showing various Medical Chart Review Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $44,967 per year, or $21.6 per hour.

Revenue Integrity Anesthesia Auditor

Shriners Children's

Remote

$73K - $110K/yr

Full-time

Re-posted 9 days ago

Shriners Children's rating

8.0

Company rating: 8.0 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

134th of 1,055 rated hospitals

Job description

Company Overview
Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family's ability to pay or insurance status. Please click here to learn more about our locations.
Job Description
The Anesthesia Auditor is responsible for the systematic review of anesthesia records to ensure accuracy, completeness, and compliance with regulatory and institutional standards. Primary responsibilities include verifying that all required documentation, provider signatures, and charges are present and appropriately supported. This role plays a key part in supporting quality assurance and regulatory compliance within the anesthesia department. The Anesthesia Auditor will also assist with other auditor duties as assigned.
Key Responsibilities:
  • Comprehensive review of anesthesia records to ensure documentation accuracy and completeness
  • Verify that all required provider signatures- including those of the anesthesiologist, CRNA, and supervising physician- are present on the documentation
  • Maintain adherence to internal protocols, external regulatory standards- including CMS and the Joint Commission- and all applicable billing requirements; additionally, identify all state-specific requirements necessary for compliance and billing in each jurisdiction (e.g., anesthesia assistants, supervision mandates, provider scope of practice)
  • Detect gaps in documentation and follow up with providers to ensure completion and signature requirements are met
  • Monitor, track, and report recurring errors or documentation trends to providers to support process improvement initiatives and education
  • Collaborate with billing, compliance, and clinical departments to address documentation, regulatory, and process-related needs
  • Ensure the secure and confidential handling of all medical records and patient information in accordance with HIPAA and organizational policies
  • Assist with other audit and monitoring duties as assigned to include:
    • Conduct detailed Hospital, Ambulatory Surgery Center, and Outpatient Clinic audits to ensure all charges are captured, supported by orders, and appropriately documented; additionally, review audit findings with the appropriate representative
    • Execute special audits on an ongoing basis, summarizing results for executive leadership and coordinating education and training efforts as needed
    • Analyze billing and compliance issues through the lens of federal and state healthcare regulations, as well as payer guidelines to ensure regulatory compliance
    • Deliver targeted education on billing and compliance matters identified during reviews or upon request from facilities, administration, and management, employing webinars, presentations, bulletins, newsletters, SHINE modules, and other appropriate tools

Required Qualifications:
  • Minimum of 5 years' experience in medical chart review, medical auditing, or clinical documentation
  • Functional knowledge of DRG and CPT coding systems
  • Proficiency with Epic EMR
  • Bachelor's Degree in Nursing, HIM, or related healthcare field - in lieu of degree, equivalent experience of at least 5 years in auditing and monitoring may be substituted for a degree

Preferred Qualifications:
  • Prior experience with anesthesia services or perioperative documentation
  • Familiarity with regulatory requirements (e.g., CMS the Joint Commission, ASA guidelines)
  • RHIA or RHIT certification
The pay range for this position is $73,569.60 - $110,344.00. Compensation is determined based on years of relevant experience and departmental equity.

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