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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 ...

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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:
What job categories do people searching Medical Chart Review Auditor jobs look for? The top searched job categories for Medical Chart Review Auditor jobs are:
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.

Coding Auditor - University Health Network

University Physicians Association, Inc.

Knoxville, TN • On-site

$23.50 - $26.75/hr

Full-time

Re-posted 7 days ago

Job description

Job Type
Full-time
Description
University Health Network is seeking a Full-Time Coding Auditor. This role requires normal business hours Monday-Friday and is a remote position with occasional on-site meetings. Candidate must be able to maintain HIPAA privacy requirements when working from home. Candidate must be located in the Knoxville, TN region.
UHN Auditor provides superior customer experience by educating internally and externally of errors and opportunities for improvement discovered during routine auditing. This individual will work closely with management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. The UHN Auditor performs duties in a professional manner while exercising good judgment and ethical standards, interacts effectively and builds respectful working relationships across the organization, and demonstrates integrity by adhering to high standards of personal and professional conduct. This individual must be reliable and maintain a high level of confidentiality within all aspects of job performance.
Essential Duties and Responsibilities
  • Assists Coding Manager in developing and maintaining a quality assurance program
  • Performs audits and medical chart reviews contributing to the continual improvement of coding and documentation compliance performance.
  • Performs routine internal audits for the UHN Coding team utilizing the UHN Audit tool to assign accuracy rates.
  • Provides feedback and education to Coding Staff on accuracy scores and areas of improvement while maintaining confidentiality of individual performance.
  • Works with Coding Manager on improvement plan if team member's accuracy rate falls below industry standard and monitors if improvement plan is achieving desired outcome.
  • Assists in the development of an effective training program regarding correct coding techniques.
  • Performs external coding audits for providers and creates audit summary reports with education topics.
  • Delivers Audit results and educational opportunities to providers
  • Assists in development of educational materials regarding compliant coding practices
  • Acts as a Subject Matter Expert in coding and documentation compliance
  • Conducts special studies/projects as requested to identify opportunities for operational improvements
  • Assists in the maintenance and creation of departmental policies and procedures to ensure compliance with established State and Federal regulations.
  • Monitor database entries to ensure data is complete, accurate, and thorough
  • Remains current on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance, and CMS Risk Adjustment guidance.
  • Performs ambulatory and inpatient coding assignments as needed to meet department deadlines.

Maintains HIPPA Guidelines for privacy
  • Respects the privacy of all patients 100% of the time
  • Obtains consent to release protected health information
  • Understands and abides by the HIPAA policy set forth by UHN
  • Reports all HIPAA issues to the Office Supervisor

Remains current on coding rules and guidelines
  • Remains up to date with official AMA ICD-10 coding guidelines and regulations, Medicare, other MA and commercial plans, and internal guidelines
  • Remains up to date with CMS and HHS HCC risk adjustment models
  • Ensures coding staff is current on coding rules and guidelines
  • Meets CEU requirements and remains in good standing with AAPC/AHIMA certifications

Requirements
  • 3+ years of ICD-10, CPT, and HCPCS coding experience required.
  • Experience and knowledge of Risk Adjustment Coding.
  • Current certifications required: CPC (RHIT also accepted) and CPMA.
  • Certified Risk Adjustment Coder (CRC) required within 6 months of hire.
  • Thorough understanding of healthcare compliance with experience in auditing E/M services and providing professional constructive feedback regarding billing and documentation practices.
  • Thorough understanding of Medicare/Medicaid billing regulations and documentation guidelines.
  • Strong knowledge of chart auditing/abstracting process.
  • Effective communication, relationship-building and interpersonal skills.
  • Exceptional attention to detail and proficiency in Microsoft Word and Excel.
  • Strong organizational and time management skills.
  • Ability to work independently and meet quality of work and workload expectations.
  • Strong analytical and problem-solving skills.

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