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Medical Records Reviewer Jobs (NOW HIRING)

Medical Records Tech

Martinsburg, WV · On-site

$37K - $51K/yr

The Medical Records Tech is responsible for supervising and maintaining all components of the ... The Quality Assurance Specialist is responsible for reviewing and auditing clinical records to ...

Medical Records Specialist

Manhattan, NY · On-site

$24.50 - $27/hr

Schedule and conduct onsite medical record reviews with high-volume providers to ensure compliance with HEDIS/QARR standards. * Evaluate discrepancies in documentation during initial reviews and ...

... Retrieve, review, and prepare medical records for electronic distribution while safeguarding confidentiality and data integrity. • Work closely with release-of-information staff, clinical ...

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Medical Records Reviewer information

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How much do medical records reviewer jobs pay per hour?

As of Jul 2, 2026, the average hourly pay for medical records reviewer in the United States is $18.15, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $19.47 per hour, depending on experience, location, and employer.

What does a Medical Records Reviewer do?

A Medical Records Reviewer is responsible for examining patient medical records to ensure accuracy, completeness, and compliance with healthcare regulations and standards. They review documentation for quality assurance, verify that records meet legal and ethical guidelines, and sometimes assist in coding diagnoses and procedures for billing purposes. Medical Records Reviewers play a crucial role in maintaining data integrity, supporting patient care, and facilitating audits or insurance claims. Their work helps healthcare organizations avoid errors and improve overall service quality.

What does a medical reviewer do?

A medical reviewer evaluates medical records, claims, and documentation to ensure accuracy, completeness, and compliance with healthcare regulations. They analyze clinical information, identify discrepancies, and may provide recommendations for approval or denial of claims, often using electronic health record systems and adhering to industry standards.

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

AspectMedical Records ReviewerMedical Coder
CertificationsTypically requires HIPAA training, sometimes RHIT or RHIARequires CPC, CCS, or similar coding certifications
Work EnvironmentHealthcare facilities, insurance companies, legal settingsHospitals, clinics, insurance companies, billing services
Job FocusReviewing and ensuring accuracy of medical recordsAssigning standardized codes to diagnoses and procedures
Common Search/ComparisonMedical Records Reviewer vs Medical Coder

While both roles work within healthcare documentation, Medical Records Reviewers focus on verifying and maintaining the accuracy of medical records, often requiring knowledge of healthcare regulations. Medical Coders, on the other hand, translate medical diagnoses and procedures into standardized codes for billing and insurance purposes. Both roles require specific certifications and are vital in healthcare administration, but they serve different functions within the medical documentation process.

How to get a job transcribing medical records?

To become a medical records reviewer, you typically need a high school diploma or equivalent, with some roles requiring a postsecondary certificate or associate degree in health information technology or a related field. Experience with electronic health record (EHR) systems and knowledge of medical terminology are important, and certifications like the Registered Health Information Technician (RHIT) can improve job prospects. Strong attention to detail and organizational skills are essential for accurately reviewing and transcribing medical records.

How to become a medical record reviewer?

To become a medical record reviewer, candidates typically need a background in healthcare, such as a medical coding, health information management, or nursing certification. Relevant skills include attention to detail, knowledge of medical terminology, and familiarity with electronic health record systems; some positions may require certification like Certified Professional Medical Auditor (CPMA) or Registered Health Information Technician (RHIT).

What is a medical record reviewer?

A medical record reviewer is a professional who examines and evaluates patient records to ensure accuracy, completeness, and compliance with healthcare regulations. They often work in healthcare facilities or insurance companies, using electronic health record (EHR) systems and may require knowledge of medical coding and documentation standards.

What are the key skills and qualifications needed to thrive as a Medical Records Reviewer, and why are they important?

To thrive as a Medical Records Reviewer, you need a solid understanding of medical terminology, healthcare documentation standards, and relevant privacy regulations, often supported by a background in health information management or a related field. Proficiency with electronic health record (EHR) systems, coding software (such as ICD-10 and CPT), and sometimes certification like RHIT or CCS is typically required. Attention to detail, critical thinking, and strong organizational skills help set candidates apart in this role. These competencies are vital to ensure accurate and compliant record reviews, supporting patient care quality and legal requirements.

What are some common challenges faced by Medical Records Reviewers, and how can they be managed effectively?

Medical Records Reviewers often encounter challenges such as incomplete or inconsistent documentation, tight deadlines, and ensuring compliance with privacy regulations like HIPAA. To manage these effectively, it’s important to develop strong attention to detail, maintain up-to-date knowledge of relevant laws and standards, and use organizational tools to track and prioritize cases. Collaboration with healthcare providers and coding specialists can also help clarify ambiguities and ensure accurate record review.
More about Medical Records Reviewer jobs
What cities are hiring for Medical Records Reviewer jobs? Cities with the most Medical Records Reviewer job openings:
What states have the most Medical Records Reviewer jobs? States with the most job openings for Medical Records Reviewer jobs include:
Medical Records Clerk

$16.75 - $20.50/hr

Full-time

Posted 2 hours ago


Gonzaba Medical Group rating

5.9

Company rating: 5.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz


Job description

General Summary:

Responsible for maintaining GMG Electronic Medical Records (EMR) by importing and organizing documents correctly/timely manner. Receives documents from internal sources, external medical offices/facilities in paper and electronic formats. Reviews medical records for accuracy and completeness. Fulfills properly executed record requests. Maintains HIPAA Compliance and serves as a resource to GMG staff.

Supervisory Responsibilities:

General Requirements:

This position has no supervisory responsibilities.

All duties performed will be done accurately and in a timely manner. 

  1. Exercises tact and courtesy when dealing with patients, visitors, physicians, and coworkers.
  2. Maintains strictest member and company confidentiality. Ensures member health information is secured each day.
  3. Participates in educational programs as needed.
  4. Assists with special projects as needed.
  5. Other duties as assigned.

Essential Job Responsibilities:

  1. Regularly retrieves paper documents from the Clinical Areas following defined protocols. Verifies that paper documents are properly labeled to ensure the right patient and right medical record. Documents any records submitted without valid name, DOB, or other identifying information according to established protocols. 
  2. Scans paper documents into a defined software system to prepare for import to EMR. Imports documents into the patient record correctly: Right Patient, Right Record, Right Document Designation, Right Date of Service, Right status (signed/unsigned).
  3. Obtains electronic records from external clinics for follow-up by verifying patient authorization for proper document release. 
  4. Organizes and evaluates patient medical records. Reviews medical records for accuracy and completeness.
  5. Releases records accurately and in a timely manner while maintaining HIPAA compliance, including release of records to patients, referral specialists, QI entities, legal requests, etc.
  6. Reviews subpoenas to ensure records are accurately produced according to request and delivered to appropriate parties within defined-time periods. Documents record releases correctly in EMR.
  7. Performs other special Medical Record review activities (Home Health Records, Diabetic Shoe Documentation, etc.) as defined.
  8. This position will require driving a personal vehicle; therefore, employees must successfully complete a motor vehicle history check, possess and maintain a current valid Texas Driver License, and provide proof of current insurance to be subject to mileage reimbursement.

Education and Training:

Minimum high school education or equivalent 

Experience:

Minimum of three (3) years of experience in a clinic, doctor’s office, hospital, or similar setting required.

Other Requirements:

Knowledge of medical terminology required. Computer Skills: Skilled in use of computer/EMR systems. Knowledge of Word processing software, spreadsheet software, Internet, and database software.

Work Environment:  

Depending upon the area and location assigned, may be 100% clinical setting or office setting in a clinical environment. Exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment.

Mental / Physical Requirements:  

Requires manual dexterity, sitting, standing, stooping, reaching, kneeling, crouching, bending, walking, lifting up to 15 lbs. Close vision and ability to adjust focus. Must be able to work efficiently under pressure.

Additional Information:

Gonzaba Medical Group is seeking team members who contribute as A-Players, demonstrate a strong work ethic, are committed to the culture and core values. 

Other Duties As Assigned:

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Team members will follow any other instructions and perform related duties, as assigned by their supervisor. Responsibilities, knowledge, skills, abilities, and work environments may change as needs evolve.


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