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Medical Record Review Jobs in Remote, OR (NOW HIRING)

Proficient in medical record review and translating clinical information into coded data. Identify and assign appropriate codes for diagnoses, procedures and other services rendered, while also ...

HIM Specialist

Roseburg, OR · On-site

$16.42 - $23.19/hr

... reviews. You will ensure that all patient health information remains secure and compliant with ... Experience in Health Information Management, medical records, or healthcare setting * Basic ...

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Perform quality assurance audits of medical records and coded charts. * Review and validate HCC coding and risk adjustment documentation . * Identify missed, unsupported, or incorrectly captured HCC ...

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Medical Record Review information

See Remote, OR salary details

$11

$42

$100

How much do medical record review jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for medical record review in Remote, OR is $42.01, according to ZipRecruiter salary data. Most workers in this role earn between $22.84 and $54.04 per hour, depending on experience, location, and employer.

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 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 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.

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.

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, along with knowledge of medical terminology and coding systems like ICD or CPT. Gaining experience in medical documentation and obtaining relevant certifications can improve job prospects. Strong attention to detail and familiarity with electronic health record systems are also important for this role.
Infographic showing various Medical Record Review job openings in Remote, OR as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 75% Physical, 1% Hybrid, and 24% Remote job distribution, with an average salary of $87,390 per year, or $42 per hour.

Coding Auditor, Facility

DaMar Staffing

Myrtle Point, OR • On-site

$65 - $90/hr

Other

This job post has expired today. Applications are no longer accepted.


Job description

Coding Auditor, FacilityOnsiteClackamas, ORTo independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Healthcare organization/institutional coding directives. Ability to communicate with physicians in order to obtain clarification for diagnoses/procedures. Ability to understand the clinical content of the health record and abstract the data in the patient health information record data as well as perform other duties assigned. The position requires the new coder to be on-site for one (1) week training or until they meet the departments expectations.

Essential Responsibilities
  • Proficient in medical record review and translating clinical information into coded data. Identify and assign appropriate codes for diagnoses, procedures and other services rendered, while also validating any Computer Assisted Coded (CAC) assignments for dual coding. Utilizing the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software system for professional surgical services, analyzing and maintaining systems accuracy, validity and meaningfulness for both professional and facility services. Utilizes electronic patient data system and clinical information system (EpicCare) to access patient encounter information. Abstracts and enters clinical data elements as defined by the needs of the organization. Identifies and assigns principal diagnosis and procedure codes, sequencing them as needed for proper Ambulatory Payment Classification (APC), Medicare Severity-Drug Related Group (MS-DRG), All Patients Refined Diagnosis Related Groups (APR-DRG) assignment, utilizing applicable coding conventions. Demonstrates knowledge and understand of CMS HCC Risk Adjustment coding.
  • Routinely performs chart analysis to identify areas of the medical record that contain incomplete, inaccurate or inconsistent documentation. Reviews and verifies chart information (i.e. POS, attending provider). Assesses and inputs data. Reviews and verifies component parts of medical records to ensure completeness and accuracy of diagnostic and therapeutic procedures that must conform to CMS coding rules and guidelines. Meets and maintains department standards 95% for productivity and quality.
  • Fully utilizes resources available such as, Coding Clinic and CPT Assistant to research issues to apply coding guidelines. Identifies coding concerns and informs supervisors, managers as appropriate. Utilizes query process when appropriate. Assists in implementing solutions to reduce back-end coding errors. Stays current on coding and regulatory publications, attends workshops to stay abreast of current issues, trends, changes in the laws and regulations governing medical record coding and documentation to mitigate the risk of fraud and abuse and to optimize revenue recovery.
  • May assist with special projects. Maintain confidentiality and effective working relationships with staff. Communicate in a clear and understandable manner, exercises independent judgment. Reviews annual ICD-10 Official Guidelines for Coding, along with review of quarterly Coding Clinic and monthly CPT Assistant. Performs as a team member of Facility Coding Services, and actively participates with peers coding in-services, staff meetings, reporting of performance measures, and quality outcome monitors. May participate in development of organizational procedures. Attends and participates in selected national and regional coding education sessions. Perform other duties as assigned.
Experience
  • Minimum two (2) years experience in a directly related coding field or 18 months within the Healthcare Apprentice program.
Education
  • High School Diploma or General Education Development (GED) required.
License, Certification, Registration
  • The candidate must have 1 from the following list:Registered Health Information Technician CertificateRegistered Health Information Administrator CertificateCertified Coding Specialist
Additional Requirements
  • Previous experience with EMR patient documentation system with intermediate knowledge and skill in the use of a computer.
  • Advance knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT, classification systems, health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny for potential fraud and abuse issues.
  • Advanced knowledge of medical terminology, pharmacology and medial coding principles for ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding.
  • Fluent in English, demonstrating skill and proficiency in oral and written communication.
  • Skills in time management, organization and analytical skills.
  • Ability to manage a significant workload and to work efficiently under pressure meeting established deadlines with minimal supervision.
  • Ability to use independent thought and judgement.
  • Abides by the Standards of Ethical Coding as set for by the American Health Information Management Association (AHIMA).
  • Meets and maintains department standard for performance, productivity and quality.
  • Department will furnish final candidate a coding skill test. The candidate will be required to pass with a 75% or better on the test.
  • Academic knowledge and working experience performing coding and abstracting responsibilities in health information/medical record services.
Preferred Qualifications
  • Minimum two (2) years of experience in health information/Medical record environment, with facility coding experience that includes Medicare reimbursement guidelines.
  • Proficient knowledge and skill in the use of a computer and related system and software to include: EMR(s), Microsoft Office Suite and other software programs.
  • Ability to evaluate, analyze, develop information regarding mathematical statistics and percentages that compare finding trends and outcomes related to productivity and /ore medical record audits.
  • Extensive knowledge of ICD-10 coding guidelines; with knowledge and demonstrated understand of CMS HCC Risk Adjustment coding and data validation requirements.
  • Degree in Health Information Management.
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