Execute compliance initiatives (e.g., Medicare Chart Reviews) and policies related to quality care initiatives in ambulatory settings. Manage data collection and dashboards for KPIs. Manage overall ...
Execute compliance initiatives (e.g., Medicare Chart Reviews) and policies related to quality care initiatives in ambulatory settings. Manage data collection and dashboards for KPIs. Manage overall ...
Site Manager - PrimeCare Fulton North
Oswego, NY · On-site
$27 - $32/hr
... Medicare Chart Reviews) and policies related to quality care initiatives in ambulatory settings. • Manage data collection and dashboards for KPIs. • Manage overall reporting (e.g., contact hours ...
Site Manager - PrimeCare Fulton North
Oswego, NY · On-site
$27 - $32/hr
... Medicare Chart Reviews) and policies related to quality care initiatives in ambulatory settings. • Manage data collection and dashboards for KPIs. • Manage overall reporting (e.g., contact hours ...
Execute compliance initiatives (e.g., Medicare Chart Reviews) and policies related to quality care initiatives in ambulatory settings. * Manage data collection and dashboards for KPIs. * Manage ...
Execute compliance initiatives (e.g., Medicare Chart Reviews) and policies related to quality care initiatives in ambulatory settings. * Manage data collection and dashboards for KPIs. * Manage ...
Chart Pre-Loader & Medicare Annual Wellness Visit Preparation - 2 years prior experience using Athen
Berlin, NH · Remote
Essential Duties and Responsibilities Chart Pre-Loading & Medicare Annual Wellness VisitPreparation ... Review daily provider schedules and make necessary adjustments to patient charts in AthenaOne prior ...
Quick apply
Chart Pre-Loader & Medicare Annual Wellness Visit Preparation - 2 years prior experience using Athen
Berlin, NH · Remote
Essential Duties and Responsibilities Chart Pre-Loading & Medicare Annual Wellness VisitPreparation ... Review daily provider schedules and make necessary adjustments to patient charts in AthenaOne prior ...
Medicare Care Manager Team Lead
Manhattan, NY · On-site
$111K/yr
The Medicare Care Manager Team Lead manages day-to-day activities of the Care Management (CM) team ... Perform ongoing quality review of cases and monthly chart review audits to ensure accuracy and ...
Medicare Care Manager Team Lead
Manhattan, NY · On-site
$111K/yr
The Medicare Care Manager Team Lead manages day-to-day activities of the Care Management (CM) team ... Perform ongoing quality review of cases and monthly chart review audits to ensure accuracy and ...
Medicare Care Manager Team Lead
Manhattan, NY · On-site
$111K/yr
The Medicare Care Manager Team Lead manages day-to-day activities of the Care Management (CM) team ... Perform ongoing quality review of cases and monthly chart review audits to ensure accuracy and ...
Medicare Care Manager Team Lead
Manhattan, NY · On-site
$111K/yr
The Medicare Care Manager Team Lead manages day-to-day activities of the Care Management (CM) team ... Perform ongoing quality review of cases and monthly chart review audits to ensure accuracy and ...
Previous experience with clinical resource utilization analysis, auditing, appeal writing, and chart review. Knowledge of state and federal regulations in regard to Medicare and Quality Management ...
Previous experience with clinical resource utilization analysis, auditing, appeal writing, and chart review. Knowledge of state and federal regulations in regard to Medicare and Quality Management ...
Previous experience with clinical resource utilization analysis, auditing, appeal writing, and chart review. Knowledge of state and federal regulations in regard to Medicare and Quality Management ...
Previous experience with clinical resource utilization analysis, auditing, appeal writing, and chart review. Knowledge of state and federal regulations in regard to Medicare and Quality Management ...
Medical Billing Coder
Wellesley, MA · Remote
$20.50 - $27.50/hr
... of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at Client ...
Medical Billing Coder
Wellesley, MA · Remote
$20.50 - $27.50/hr
... of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at Client ...
Medical Coder CPC / CCS
$18 - $24.25/hr
... Medicare's Risk Adjustment initiatives. May require some travel to various provider partner locations Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model. Develop an ...
Medical Coder CPC / CCS
$18 - $24.25/hr
... Medicare's Risk Adjustment initiatives. May require some travel to various provider partner locations Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model. Develop an ...
... chart reviews to confirm admission and continued stay meet level-of-care criteria Provide ... CMS, Medicare, Medicaid, and commercial payer regulations Proficiency with Epic or similar EMR ...
New
... chart reviews to confirm admission and continued stay meet level-of-care criteria Provide ... CMS, Medicare, Medicaid, and commercial payer regulations Proficiency with Epic or similar EMR ...
New
Conduct initial and concurrent chart reviews to confirm admission and continued stay meet level-of ... Familiarity with CMS, Medicare, Medicaid, and commercial payer regulations * Proficiency with Epic ...
New
Conduct initial and concurrent chart reviews to confirm admission and continued stay meet level-of ... Familiarity with CMS, Medicare, Medicaid, and commercial payer regulations * Proficiency with Epic ...
New
Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)
Los Angeles, CA · On-site
$100K - $218K/yr
... Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... chart reviews. * Travel to provider offices within Los Angeles area at least three days a week.
Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)
Los Angeles, CA · On-site
$100K - $218K/yr
... Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... chart reviews. * Travel to provider offices within Los Angeles area at least three days a week.
Conduct initial and concurrent chart reviews to confirm admission and continued stay meet level-of ... Familiarity with CMS, Medicare, Medicaid, and commercial payer regulations * Proficiency with Epic ...
New
Conduct initial and concurrent chart reviews to confirm admission and continued stay meet level-of ... Familiarity with CMS, Medicare, Medicaid, and commercial payer regulations * Proficiency with Epic ...
New
... chart review and strengthen coding compliance, documentation accuracy, and risk adjustment optimization across our Medicare-focused primary care model. The ideal candidate brings deep expertise in ...
New
... chart review and strengthen coding compliance, documentation accuracy, and risk adjustment optimization across our Medicare-focused primary care model. The ideal candidate brings deep expertise in ...
New
Nurse Reviewer - Allentown, PA
Allentown, PA · Remote
$40/hr
Utilization/Medical record review and chart abstraction * Current standards of medical practice ... Knowledge and experience of Medicare and Medicaid policy * Proficiency with Microsoft Office (Word ...
Nurse Reviewer - Allentown, PA
Allentown, PA · Remote
$40/hr
Utilization/Medical record review and chart abstraction * Current standards of medical practice ... Knowledge and experience of Medicare and Medicaid policy * Proficiency with Microsoft Office (Word ...
Nurse Reviewer - Williamsport, PA
Williamsport, PA · Remote
$40/hr
Utilization/Medical record review and chart abstraction * Current standards of medical practice ... Knowledge and experience of Medicare and Medicaid policy * Proficiency with Microsoft Office (Word ...
Nurse Reviewer - Williamsport, PA
Williamsport, PA · Remote
$40/hr
Utilization/Medical record review and chart abstraction * Current standards of medical practice ... Knowledge and experience of Medicare and Medicaid policy * Proficiency with Microsoft Office (Word ...
Nurse Reviewer - Reading, PA
Reading, PA · Remote
$40/hr
Utilization/Medical record review and chart abstraction * Current standards of medical practice ... Knowledge and experience of Medicare and Medicaid policy * Proficiency with Microsoft Office (Word ...
Nurse Reviewer - Reading, PA
Reading, PA · Remote
$40/hr
Utilization/Medical record review and chart abstraction * Current standards of medical practice ... Knowledge and experience of Medicare and Medicaid policy * Proficiency with Microsoft Office (Word ...
Nurse Reviewer - Sarasota, FL
Sarasota, FL · Remote
$40/hr
Utilization/Medical record review and chart abstraction * Current standards of medical practice ... Knowledge and experience of Medicare and Medicaid policy * Proficiency with Microsoft Office (Word ...
Nurse Reviewer - Sarasota, FL
Sarasota, FL · Remote
$40/hr
Utilization/Medical record review and chart abstraction * Current standards of medical practice ... Knowledge and experience of Medicare and Medicaid policy * Proficiency with Microsoft Office (Word ...
Medicare Chart Reviewer information
See salary details
$10.58 - $14.03
1% of jobs
$14.03 - $17.48
13% of jobs
$17.48 - $20.94
4% of jobs
$22.31 is the 25th percentile. Wages below this are outliers.
$20.94 - $24.39
18% of jobs
$24.39 - $27.84
14% of jobs
The median wage is $27.95 / hr.
$27.84 - $31.29
17% of jobs
$31.29 - $34.75
7% of jobs
$35.14 is the 75th percentile. Wages above this are outliers.
$34.75 - $38.20
12% of jobs
$38.20 - $41.65
8% of jobs
$41.65 - $45.10
5% of jobs
$45.10 - $48.56
1% of jobs
$10
$29
$48
How much do medicare chart reviewer jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Medicare Chart Reviewer?
To thrive as a Medicare Chart Reviewer, you need a solid background in medical coding, clinical documentation, and a comprehensive understanding of Medicare regulations, often supported by certifications like CPC or CCS. Familiarity with Electronic Health Record (EHR) systems, chart abstraction tools, and auditing software is commonly required. Strong attention to detail, analytical thinking, and effective communication are key soft skills in this role. These capabilities ensure accurate chart reviews, regulatory compliance, and effective collaboration with healthcare providers and administrative teams.
What is a Medicare Chart Reviewer?
A Medicare Chart Reviewer is responsible for reviewing medical records to ensure accuracy, compliance with Medicare guidelines, and proper documentation of patient care. They analyze charts to identify coding errors, missing information, or inconsistencies that could impact billing and reimbursement. This role requires knowledge of medical terminology, Medicare regulations, and coding standards such as ICD-10 and CPT. Medicare Chart Reviewers often work for healthcare providers, insurance companies, or third-party review organizations to support audits and compliance efforts.
What are some typical challenges a Medicare Chart Reviewer might face in daily work?
Medicare Chart Reviewers often encounter challenges such as interpreting complex medical records, staying current with frequently changing Medicare guidelines, and ensuring that all documentation is complete and compliant. Balancing efficiency with accuracy is critical, as even small errors can impact billing or reimbursement. Additionally, chart reviewers may need to collaborate with clinicians to clarify inconsistencies or request additional information, which requires professional communication skills. Successfully navigating these challenges helps ensure proper coding and reduces the risk of regulatory penalties for healthcare organizations.
How much do Medicare chart reviewers make in the US?
How to become a Medicare Chart Reviewer?
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- Rn Chart Reviewer
- Clinical Quality Nurse
- Associate Remote Healthcare Quality Assurance
- Rn Cpc
- Work From Home Chiropractic Utilization Review
- Remote Medical Claims Review Nurse
- Remote Preservice Review Nurse

Oswego Health rating
5.4
Based on 19 frontline employees who took The Breakroom Quiz
Job description
Job Title: Site Manager Department: Oswego Health Medical Practice
Reports to: Operations Director Revision Date: 6.22.2026
Job Summary:
The Site Manager oversees daily operations of ambulatory clinics, ensuring efficient practice operations, identifying and implementing improvements, and leading a diverse team of clinical and non-clinical staff. Other focuses include overseeing streamlined patient access and operational efficiency through financial processes and reimbursement strategies. The Site Manager is also responsible for implementing operational changes, maintaining a positive workplace culture, and managing compliance and quality initiatives to uphold high standards of care.
Duties/Responsibilities:
Streamline patient access & operational efficiency by overseeing appointment scheduling, financial processes, clinical processes, and ensuring effective patient flow.
Develop, update, and approve one time or permanent provider template modifications.
Manage and optimize provider panel size.
Establish and continuously improve patient scheduling & financial clearance/pre-registration processes, as well as referral management goals.
Monitor reimbursement, charge master, price transparency, and denials.
Manage staffing and professional development efforts, overseeing both non-clinical and clinical staff.
Participate in the mixing and annual evaluations of clinic staff.
Schedule staff according to skill mix and clinic volumes
Foster a positive clinic culture between staff and providers.
Host team building events and serve as a resource to answer or escalate concerns.
Oversee provider licensure & collaborative agreements within the clinic.
Establish efficient clinic operations and high-quality care through strategic management of budgets, quality metrics, compliance initiatives, process improvements, and data analytics.
Oversee clinic cost control, annual staffing budgets, and capital opportunities.
Monitor and report system-wide & specialty-specific quality & safety metrics.
Implement ad-hoc projects focused on process improvement & strategy.
Conduct Root Cause Analysis (RCA) for clinical, quality, and safety events.
Contribute to operational questions for Press Ganey care experience surveys.
Execute compliance initiatives (e.g., Medicare Chart Reviews) and policies related to quality care initiatives in ambulatory settings.
Manage data collection and dashboards for KPIs.
Manage overall reporting (e.g., contact hours, access indicators, patient experience, etc.), staff time off approval, and room utilization.
Monitor policies, procedures, and workflow implementation.
Manage clinic hours, including opening and closing clinic for daily operations.
Performs all other duties as assigned.
Required Skills/Abilities (Unit Specific):
- Ability to motivate and develop staff and providers.
- Proficiency in conflict resolution, team building, and clinical-staff development.
- Strong decision-making and problem-solving skills.
- Ability to evaluate, manage, and develop the performance of clinic staff and other key personnel.
- Ability to manage multiple tasks and priorities.
- Proficient in time management and delegation.
- Detail-oriented and capable of maintaining accurate records.
- Excellent verbal and written communication skills.
- Ability to communicate effectively with staff, patients, and other stakeholders.
- Strong presentation and negotiation skills.
- Experience in recruiting, hiring, and training staff.
- Ability to manage employee performance and development.
- Budgeting and financial management skills.
- Ability to analyze financial statements and manage resources efficiently.
- Proficient in risk management and quality assurance.
- Strong commitment to a patient-centered approach.
- Ability to oversee the management of patient complaints and satisfaction.
- Ability to address the needs of a practice continuously and proactively.
- Strong problem-solving skills to address issues promptly and effectively.
- Innovative thinking to find creative solutions to challenges.
- Ability to implement practice growth and innovation initiatives.
- Understanding of market trends and ability to adapt to changes.
- Ability to adapt to changing circumstances and environments.
- Willingness to take on diverse roles and responsibilities as needed.
- Ability to find and use available resources efficiently across various practice settings.
- Proactively seeks out new resources and tools to improve practice operations.
Education and Experience:
- Bachelor's Degree and three years related experience preferred, preferably in a medical practice. Strong clinical background is ideal. Equivalent combination of education and experience may be considered.
- Understanding of healthcare regulations and compliance.
- Familiarity with clinical practices and procedures.
- Knowledge of medical terminology and healthcare systems.
- Knowledge of patient care standards and best practices.
- Financial, Compliance, and Risk Management Acumen:
- Comprehensive knowledge of insurance processes, including prior authorizations.
- Advanced knowledge of billing, coding, and insurance processes.
- Understanding of payer requirements and healthcare reimbursement mechanisms.
Technical Proficiency:
- Familiarity with Electronic Health Records (EHR) systems.
- Understanding of telehealth and other healthcare technologies.
- Proficient in office software (e.g., MS Office, practice management software).
Working Conditions:
- Extended periods of sitting, using standard office equipment including, but not limited to: computers, phones, scanners, fax machines, printers, etc.
- Occasionally requires assembling, using and maintaining all departmental equipment.
- Occasionally requires prolonged periods of standing and walking with the ability to lift, push or pull up to 15 lbs. using proper body mechanics.
- Attendance ensures that job requirements are met.
- Actively participates in Quality Assurance programs and CQI, in-service programs, cross-training; completes department specific requirements/competencies; attends all mandatory classes as required; participates in meetings and committees as assigned.
- Complies with DOH requirements for annual health assessments and required immunizations.
Pay Range: $27-$32.00/hour
Employee salary is based on commensurate experience and other qualifications.
The mission of Oswego Health is to provide accessible, quality care and improve the health of residents throughout Oswego County. As a nonprofit healthcare system that was established in 1881, Oswego Health is proud to continue to be one of Oswego Countys largest employers. More than 1,200 employees spread throughout its 17 locations, work for the Oswego Health system, which includes the 164-bed community hospital with a brand new Medical Surgical Unit, a 32-bed state-of-the-art psychiatric acute-care facility with multiple outpatient behavioral health service locations, The Manor at Seneca Hill, a 120-bed skilled nursing facility, and Springside at Seneca Hill, an independent retirement community. The health system also operates Oswego Health Home Care, the only hospital-based certified home healthcare agency in the County as well as two outpatient centers, including the Fulton Medical Center, offering urgent care, lab, medical imaging, physical therapy, and occupational health services; and the Central Square Medical Center, offering urgent care, lab, medical imaging, and physical therapy services. In addition, Oswego Health includes the Oswego Health captive professional corporation, Physician Care P.C., providing physician services in orthopedics, cardiology, ENT, gastroenterology, breast care, audiology, general surgery, bariatrics, and primary care.
EQUAL EMPLOYMENT OPPORTUNITY
Oswego Health is committed to providing equal opportunity in all employment-related matters, without regard to race (including traits historically associated with race), creed, color, religion, sex/gender, national origin, age, marital or familial status, disability, pregnancy-related condition, sexual orientation, gender identity, gender expression, transgender status, citizenship status, ancestry, arrest/conviction record, military or veteran status, domestic violence victim status, genetic predisposition or carrier status, reproductive health decision making, relationship or association with a member of a protected category, or any other legally protected characteristic. Decisions affecting your position including, but not limited to, recruitment, hiring, placement, promotion, transfer, compensation, benefits, training, tuition assistance, leaves of absence, disciplinary action, layoff/recall, and terminations will be made in accordance with this policy.
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About Oswego Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Oswego, NY, US
Year founded
1881