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Medical Record Review Jobs (NOW HIRING)

The Orchards Michigan

Medical Record Clerk

Big Rapids, MI · On-site

$13.75 - $17/hr

Support audits and compliance reviews by preparing necessary documentation. Qualifications: * High school diploma or equivalent required. * Experience in medical records management and/or supply ...

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Medical Record Review information

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$11

$42

$100

How much do medical record review jobs pay per hour?

As of Jul 1, 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 skills do you need to be a medical reviewer?

A medical reviewer needs strong knowledge of medical terminology, clinical guidelines, and healthcare regulations. Excellent attention to detail, critical thinking, and communication skills are essential, along with proficiency in medical record systems and certifications such as a registered nurse or medical coding credentials.

How to become a medical record reviewer?

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

What does a medical reviewer do?

A medical reviewer evaluates medical records to ensure accuracy, completeness, and compliance with healthcare standards. They analyze clinical documentation, identify discrepancies, and may provide recommendations for treatment or claims processing, often using specialized software and requiring relevant medical certifications.

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 qualifications do you need to be a medical records clerk?

A medical records clerk typically needs a high school diploma or equivalent and familiarity with medical terminology and health information systems. Some employers prefer postsecondary education or certification in health information management, and strong organizational and computer skills are essential for managing patient records accurately.

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.
More about Medical Record Review jobs
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What are the most commonly searched types of Medical Record Review jobs? The most popular types of Medical Record Review jobs are:
What states have the most Medical Record Review jobs? States with the most job openings for Medical Record Review jobs include:
Medical Record Review jobs near you
Medical Record Coder

Medical Record Coder

New England Baptist Hospital

Boston, MA • On-site

Full-time

Posted 4 days ago

Job description

Job Category:
Finance Jobs
Position Type:
Regular
Hours Per Week:
Full time 40 hours per week
FT/PT/PD:
Full time
PROFESSIONAL MEDICAL RECORDS CODER
Under the direction of the Professional Revenue Integrity Manager
Essential Tasks / Responsibilities
  • Conducting focused compliance assessments of CPT/HCPCS and ICD code assignment
  • Evaluating billed charge data and professional services claims (e.g. CMS-1500) for accuracy of claim reporting requirements
  • Evaluating the adequacy of medical record documentation for professional services providers
  • Preparing reports / audit results as required related to the specific auditing activities performed
  • Analyzing coded data to assess billing patterns and identify potential aberrant billing patterns
  • Analyzing claim denials and associated claim documentation to determine cause and potential resolution
  • Providing recommendations to providers and management
  • Developing and implementing processes that will effectively monitor/track compliance requirements, reporting, and performance metrics / scorecards etc.
  • Interfacing with NEBH revenue cycle and third-party billing vendors, if applicable, to facilitate analysis and/or issue resolutions, as applicable
  • Developing, conducting, and/or coordinating provider coding / documentation training including implementation and maintenance of provider training resources / references
  • Conducting NEBMA, SPINE CTR & NEBMA Hospitalist group coding review and updating requests daily
  • Fulfilling all medical note review requests (OPTUM, BCBS, etc.)
  • Providing educational materials and coding accuracy to clinicians
  • Analyzing billing company reports

Qualifications / Skills
  • Strong reading comprehension skills
  • Solid oral and written communication skills
  • Native or Fluent proficiency in English language
  • Excellent typing and 10-key speed and accuracy
  • Strong knowledge of anatomy, physiology, and medical terminology
  • Attention to detail, organization, and time management skills
  • Microsoft Office skills (Outlook, Word, Excel, PowerPoint)
  • Ability to work on numerous software applications systems and a willingness to learn
  • Ability to work both independently and as a team player within a hybrid environment

Education, Experience, and Licensing Requirements
  • High school diploma, GED, or equivalent required, university/college degree is a plus
  • 1 year of medical coding experience required, 2+ years preferred
  • CCS, CCS-P, CCA, CPC, COC, or CPC-A required
  • Experience working in medical office and communicating with clinicians preferred
  • Experience with medical billing and CMS-1500 forms preferred
  • Experience using eClinicalWorks, Soarian, Medaptus, or Optum EncoderPro is a plus

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