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Medical Chart Review Jobs in Indiana (NOW HIRING)

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Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ... Certified Medical Assistants * A minimum of two (2) years of clinical experience - preferably in ...

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Medical Chart Review information

See Indiana salary details

$34.7K

$156.8K

$320.7K

How much do medical chart review jobs pay per year?

As of Aug 18, 2026, the average yearly pay for medical chart review in Indiana is $156,752.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,900.00 and $255,500.00 per year, depending on experience, location, and employer.

What is medical chart review?

Medical chart review is the process of systematically examining patient medical records to gather information, ensure accuracy, and assess the quality of care provided. Professionals in this role review charts for completeness, compliance with regulations, and to identify any discrepancies or trends in patient care. Chart reviews are essential for quality assurance, clinical research, legal cases, and insurance claims. They help improve patient outcomes by ensuring that documentation is thorough and accurate.

What are medical chart review jobs?

Medical chart review jobs focus on reviewing medical records. Your duties include auditing medical records and charts in a hospital or other medical facility. You review patient records to ensure that information is accurate and that records and documents accurately reflect the conditions and treatment requirements of each patient. A medical chart reviewer or clinical data reviewer focuses on the accuracy of billing and insurance purposes, but your responsibilities can also include reviewing information about the quality of care in the facility. Chart reviewers can work for a medical clinic or third-party service provider.

What are some common challenges faced in a medical chart review role, and how can professionals effectively address them?

Professionals in Medical Chart Review often encounter challenges such as incomplete or inconsistent documentation, deciphering handwritten notes, and navigating various electronic health record (EHR) systems. To overcome these issues, it's important to develop strong attention to detail, maintain up-to-date knowledge of medical terminology, and communicate effectively with healthcare providers for clarifications. Building proficiency with multiple EHR platforms and staying current with regulatory requirements also helps ensure accuracy and compliance in your reviews.

How to become a medical chart reviewer?

To become a medical chart reviewer, candidates typically need a background in healthcare, such as a registered nurse, medical coder, or healthcare administrator, along with knowledge of medical terminology and coding systems like ICD or CPT. Relevant certifications, such as Certified Professional Medical Auditor (CPMA), can enhance job prospects. Experience with electronic health records (EHR) systems and attention to detail are also important for success in this role.

What does a medical chart review do?

A medical chart review involves examining patient records to verify the accuracy, completeness, and consistency of medical information. Medical chart reviewers assess documentation for compliance, coding accuracy, and quality assurance, often using electronic health record (EHR) systems. This process supports billing, legal, and clinical decision-making and typically requires attention to detail and knowledge of medical terminology and regulations.
More about Medical Chart Review jobs

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The most popular types of Medical Chart Review jobs in Indiana are:

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For Medical Chart Review jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Medical Chart Review jobs in Indiana look for?

The top searched job categories for Medical Chart Review jobs in Indiana are:

What cities in Indiana are hiring for Medical Chart Review jobs?

Cities in Indiana with the most Medical Chart Review job openings:

Medical Chart Review jobs near you
Infographic showing various Medical Chart Review job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $156,752 per year, or $75.4 per hour.

Medical Record Reviewer

Community Home Health Care & CIHC

Fort Wayne, IN

Full-time

Re-posted 11 days ago

Job description

Medical Record Reviewer

Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is essential to ensuring our client records meet professional standards and support safe, high-quality care.

What You’ll Do

Clinical Record Audits & Documentation Review

  • Perform monthly audits of skilled nursing notes for all visiting nurses.
  • Provide direct, timely feedback to nurses on missing or incorrect documentation.
  • Re-audit records when deficiencies continue and notify the Clinical Manager as needed.
  • Audit OASIS assessments (SOC, ROC, Recertification, and Follow-Up) prior to transmission.
  • Audit at least 10% of each RN Case Manager’s charts monthly, focusing on recerts, SOC, and ROC visits.
  • Audit all documentation for newly hired RN Case Managers during their probation period.
  • Complete discharge record reviews and notify RN Case Managers when discharge charts need QA review.

Deficiency Identification & Follow-Up

  • Review charts for accuracy, completion, legal compliance, and proper care documentation.
  • Document deficiencies on the Case Conference Review form.
  • Notify nurses and department staff of deficiencies and required corrections.
  • Conduct discharge analysis when clients leave the agency.

Reporting & Collaboration

  • Track patterns and trends in documentation issues.
  • Communicate concerns and recurring problems to the Clinical Manager.
  • Support corrective action steps when needed.
  • Compile a quarterly audit report summarizing the previous three months.
  • Assist with ongoing chart review processes as assigned.

What We’re Looking For

  • Active RN license in the State of Indiana.
  • Strong understanding of home health documentation standards, Medicare/Medicaid requirements, and OASIS.
  • Excellent attention to detail and strong organizational skills.
  • Ability to communicate clearly, professionally, and constructively with nursing staff.
  • Comfortable working fully in-office in a fast-paced environment.
  • Previous QA or chart auditing experience preferred, but strong clinical documentation skills will also be considered.

Schedule & Work Environment

  • Monday–Friday schedule, in-office at the Fort Wayne location.
  • Works closely with the Clinical Manager, RN Case Managers, and field staff.
  • Computer-based role with consistent chart auditing and record review responsibilities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state, or local laws. We are committed to creating a diverse and inclusive workplace for all employees.

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