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Medical Record Reviewer Jobs (NOW HIRING)

New England Baptist Hospital

PROFESSIONAL MEDICAL RECORDS CODER Under the direction of the Professional Revenue Integrity ... Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials ...

Acadia Healthcare

Medical Record Specialist

Madison, WI · On-site

... review, readmissions, HBIPS processing and route to appropriate area or department. • Ensure ... medical records. • Maintain chart control, access and storage in accordance with established ...

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How much do medical record reviewer jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for medical record reviewer 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.

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 health information technician. Relevant certifications like Certified Professional Medical Auditor (CPMA) or Certified Coding Specialist (CCS) can enhance job prospects, and strong attention to detail and knowledge of medical terminology are essential. Most positions require familiarity with electronic health record (EHR) systems and adherence to privacy regulations like HIPAA.

What is a medical record reviewer?

A medical record reviewer is a healthcare professional responsible for examining and evaluating patient records to ensure accuracy, completeness, and compliance with regulations. They often work with electronic health record (EHR) systems and may require knowledge of medical coding and documentation standards. This role supports quality assurance, billing, and legal documentation processes.

What are some of the most common challenges faced by medical record reviewers and how can they be addressed?

Medical Record Reviewers often encounter challenges such as inconsistent documentation, incomplete patient information, and tight deadlines for record analysis. Addressing these issues often requires strong attention to detail, effective communication with healthcare providers for clarifications, and efficient time management. Familiarity with electronic health record (EHR) systems and ongoing training on regulatory standards can also help reviewers navigate these challenges and ensure accuracy in their work.

What does a medical record reviewer do?

As a medical record reviewer, you review medical charts to ensure they are complete, accurate, and in compliance with all guidelines and regulations. Medical record reviewers also help create summaries of medical records for various purposes, such as law enforcement investigations. Depending on the needs of your employer, you may sort and index records, prepare case reports, abstract data, or help enter information into digital systems. Many medical record reviewers work exclusively for a single healthcare company, but others work for outside contractors. Medical record reviewers typically work regular hours, but on rare occasions, employers may ask you to work outside of regular hours to help find missing records for patients that need emergency care.

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

AspectMedical Record ReviewerMedical Coder
CertificationsOften requires RHIT, RHIA, or similarRequires CPC, CCS, or similar
Work EnvironmentHospitals, clinics, insurance companiesHospitals, billing companies, insurance firms
Primary FocusReviewing and ensuring accuracy of medical recordsAssigning codes to diagnoses and procedures
Common UsageQuality assurance, compliance, record accuracyBilling, reimbursement, data analysis

Medical Record Reviewers and Medical Coders both work within healthcare settings and require related certifications. While Medical Record Reviewers focus on verifying and ensuring the accuracy of medical records, Medical Coders assign standardized codes for diagnoses and procedures. Both roles are essential for healthcare compliance and billing, but they serve different functions within the medical documentation process.

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

To thrive as a Medical Record Reviewer, you need a solid understanding of medical terminology, healthcare regulations, and experience with medical coding, often supported by a background in health information management or nursing. Familiarity with electronic health record (EHR) systems, ICD/CPT coding software, and compliance guidelines such as HIPAA is typically required. Attention to detail, analytical thinking, and strong written communication are crucial soft skills for this role. These competencies ensure accurate record evaluation, compliance with regulations, and the integrity of patients' health data.
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Medical Record Reviewer jobs near you
Infographic showing various Medical Record Reviewer job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 87% Full Time, 7% Part Time, and 3% Contract. Highlights an 74% In-person, 3% Hybrid, and 23% Remote job distribution, with an average salary of $87,476 per year, or $42.1 per hour.

Medical Record Coder

New England Baptist Hospital

Full-time

Re-posted 8 days ago

Job description

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
Employment Type: Full time

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