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Medical Record Review Jobs (NOW HIRING)

Versiti, Inc.

Specialist Record Review

Dayton, OH

$17.50 - $23.25/hr

Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO ... Reviews records and/or reports to ensure compliance with SOPs and within regulatory guidelines ...

Versiti, Inc.

Specialist Record Review

Dayton, OH

Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO ... Reviews records and/or reports to ensure compliance with SOPs and within regulatory guidelines ...

Versiti, Inc.

Specialist Record Review

Dayton, OH · On-site

Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO ... Reviews records and/or reports to ensure compliance with SOPs and within regulatory guidelines ...

Versiti, Inc.

Team Lead Record Review

Dayton, OH · On-site

The Record Review Team Lead serves as the subject matter expert (SME) and is responsible for ... Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO ...

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How much do medical record review jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for medical record review in the United States is $42.06, according to ZipRecruiter salary data. Most workers in this role earn between $22.84 and $54.09 per hour, depending on experience, location, and employer.

What is the difference between Medical Record Review vs Medical Coder?

AspectMedical Record ReviewMedical Coder
CertificationsOften requires medical review or coding certificationsRequires coding certifications like CPC or CCS
Work EnvironmentHealthcare facilities, insurance companies, legal settingsHospitals, clinics, insurance companies
Job FocusAnalyzing and assessing medical records for accuracy and completenessAssigning standardized codes to diagnoses and procedures
Common UsageUsed in claims review, legal cases, quality assuranceUsed for billing, reimbursement, and data analysis

Medical Record Review and Medical Coder roles share overlapping skills in medical terminology and documentation. However, Medical Record Review focuses on evaluating records for accuracy and compliance, while Medical Coders assign codes for billing purposes. Both roles are essential in healthcare documentation and often work together within healthcare and insurance settings.

What are the key skills and qualifications needed to thrive as a medical record reviewer, and why are they important?

To thrive as a Medical Record Reviewer, you need a solid understanding of medical terminology, healthcare regulations, and clinical documentation standards, often supported by a background in health information management or nursing. Familiarity with electronic health record (EHR) systems, coding software (such as ICD-10 and CPT), and compliance tools is typically required. Attention to detail, critical thinking, and strong organizational skills are crucial soft skills for accurately analyzing patient records and ensuring data integrity. These competencies are vital to maintain compliance, support quality care, and facilitate accurate billing and reporting in healthcare organizations.

What is medical record review?

Medical record review is the process of examining and analyzing patients' medical records to ensure accuracy, completeness, and compliance with healthcare regulations. This task is often performed by healthcare professionals, such as nurses or medical coders, who check for documentation errors, verify the appropriateness of care, and support legal, billing, or quality improvement purposes. It plays a critical role in maintaining high standards in patient care, insurance claims, and legal cases involving medical information.

What are some common challenges faced in a medical record review role, and how can they be managed?

Medical Record Review professionals often encounter challenges such as incomplete documentation, inconsistent terminology, and navigating electronic health record (EHR) systems. Attention to detail and strong communication skills are essential for clarifying discrepancies with healthcare providers. Collaboration with clinical and administrative teams, ongoing training on EHR updates, and adherence to regulatory standards help ensure accurate and efficient reviews. Staying organized and keeping up with industry best practices can make the role more manageable and rewarding.

How to become a medical record review?

To become a medical record reviewer, individuals typically need a background in healthcare, such as a registered nurse, medical coder, or healthcare administrator. Relevant skills include knowledge of medical terminology, coding systems, and familiarity with electronic health records; obtaining certifications like Certified Professional Medical Auditor (CPMA) can also enhance qualifications.

What does a medical record review do?

A medical record review involves examining patient records to assess the accuracy, completeness, and quality of medical documentation. Medical record reviewers often verify compliance with regulations, support insurance claims, or assist in legal cases, using tools like electronic health records (EHR) systems. The role requires attention to detail and knowledge of medical terminology and healthcare standards.
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Medical Record Review jobs near you
Infographic showing various Medical Record Review 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 $87,476 per year, or $42.1 per hour.

Medical Record Review Registered Nurse

22nd Century Technologies, Inc. (TSCTI)

Harrisburg, PA • On-site

Other

Posted 8 days ago

Job description

Job Title: Medical Record Review Registered Nurse Dutation: Contract (12+ Months) Work Arrangement: Hybrid Shift: 7:30 AM - 4:00 PM Description: Be available as a full-time consultant, approximately 37.5 hours per week; Possess an active Pennsylvania Registered Nurse license; Possess a documented work history of five (5) or more years of experience with claims review/coding or processing; be familiar with HCPCS II, CPT, or Dental coding; Possess computer skills, including familiarity with Microsoft Office programs, including Microsoft Excel/Word/PowerPoint; Possess prior experience with PROMISe or similar claims processing system; Possess prior experience with Medicare or Medical Assistance coding rules; Possess prior experience with researching medical policies, out of state comparison, participation in studies or projects. Responsibilities: Provide oversight to projects and processes for support of managerial leadership. Consultant will be assigned to workgroups and project teams. Assignments will consist of a combination of ongoing process responsibilities, standing workgroup participation, and time-limited projects related to the management and operations of all aspects of the Pennsylvania Medicaid program, including but not limited to: Evaluation and implementation of system enhancements for provider enrollment, provider inquiry, and medical review; Evaluation of current processes and implementation of recommended process improvement; Consult with senior staff to outline major operational issues and develop resolutions based on sound data analysis; Act as a liaison between the Client and external stakeholders (individuals and/or groups); Assist in determining if any changes should be made to criteria or regulations to better serve clients; Review certain claims, analyze, and process through the payment system; Provide operational input for claims processing decisions; Assist with coding and procedure code groupings; Participate in the yearly coding updates and assist in updating the system according to the reviewed and accepted codes for the PA Medical Assistance Program; Perform other related duties as assigned by the managerial staff; Consultant will report to the state supervisor staff. Assignments will be received verbally or in writing, and will be carried out independently with minimal direct supervision; Consultant, when requested, will work at one or more of the Department's work sites. Consultant's primary work location will be in Harrisburg, PA. Consultant will be provided with a desk, computer, phone, and all items necessary for them to complete assignments.

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