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Overnight Rn Legal Nurse Chart Review Jobs (NOW HIRING)

Hospice Qapi RN

Lakewood, NJ ยท On-site

$40 - $45/hr

RN Chart Auditor The duties of an RN chart auditor are to review medical records for accuracy ... to legal, regulatory, and institutional standards, including HIPAA, Medicare and Medicaid ...

RN Chart Auditor The duties of an RN chart auditor are to review medical records for accuracy ... to legal, regulatory, and institutional standards, including HIPAA, Medicare and Medicaid ...

Overnight Registered Nurse

Housatonic, MA ยท On-site

$29.81 - $53/hr

Are you the Overnight Registered Nurse we have been looking for? In this position, you will be able ... For further information, please review the Know Your Rights notice from the Department of Labor.

Legal Nurse

Tampa, FL ยท On-site

The ideal candidate will have a RN Degree coupled with work experience in a clinical setting ... Obtains, reviews, analyzes, and summarizes medical records and other pertinent medical and legal ...

Overnight RN

Hilo, HI ยท On-site

$38 - $50/hr

The Overnight RN plays a critical part in upholding Pacific Quest's high standards of integrative medical care in a structured residential treatment environment. Resident Safety & Supervision ...

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Overnight Rn Legal Nurse Chart Review information

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$50K

$87.7K

$126K

How much do overnight rn legal nurse chart review jobs pay per year?

As of Jul 16, 2026, the average yearly pay for overnight rn legal nurse chart review in the United States is $87,681.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $101,500.00 per year, depending on experience, location, and employer.

What is an Overnight RN Legal Nurse Chart Review?

An Overnight RN Legal Nurse Chart Review involves a registered nurse (RN) working night shifts to evaluate and analyze medical records for legal cases. These professionals use their clinical expertise to review charts, identify medical facts, and provide objective assessments that may be used in legal proceedings. Their work helps attorneys understand medical issues, determine standard of care, and assess if there were any deviations or negligence. This role is crucial in legal cases involving medical malpractice, personal injury, or insurance claims, and often requires a strong background in both nursing and legal concepts.

What are the key skills and qualifications needed to thrive as an Overnight RN Legal Nurse Chart Reviewer, and why are they important?

To excel as an Overnight RN Legal Nurse Chart Reviewer, you need a current RN license, in-depth clinical experience, and a solid understanding of medical terminology and legal documentation standards. Familiarity with electronic health records (EHRs), medical coding systems, and specialized legal nurse consulting software is typically required. Attention to detail, critical thinking, and strong written communication skills are vital to accurately interpret records and convey findings. These competencies ensure the accuracy and reliability of medical chart reviews, which are crucial for legal case evaluations and compliance.

What are some common challenges faced by Overnight RN Legal Nurse Chart Reviewers, and how can they be managed?

Overnight RN Legal Nurse Chart Reviewers often encounter challenges such as managing fatigue due to night shifts, maintaining accuracy when reviewing large volumes of medical records, and interpreting complex clinical documentation for legal cases. To manage these challenges, it's important to establish a consistent sleep schedule, utilize effective time management strategies, and stay updated on medical-legal standards. Collaboration with legal teams and other nursing professionals can also help clarify ambiguous information and ensure thorough, defensible reviews.

What is the difference between Overnight Rn Legal Nurse Chart Review vs Legal Nurse Consultant?

AspectOvernight Rn Legal Nurse Chart ReviewLegal Nurse Consultant
CredentialsRegistered Nurse (RN) with legal nurse review trainingRN with legal nurse consulting certification or experience
Work EnvironmentRemote, overnight shifts reviewing medical chartsConsulting in offices or court settings, often client meetings
Industry UsagePrimarily in insurance, legal, and healthcare sectors for chart reviewsLegal cases, expert witness work, and case analysis

While both roles involve legal aspects and nursing expertise, Overnight Rn Legal Nurse Chart Review focuses on reviewing medical records during overnight shifts, often remotely. Legal Nurse Consultants provide broader legal case analysis, expert testimony, and consulting services. The main difference lies in the scope of work and work environment, with chart reviews being more specialized and task-oriented.

What cities are hiring for Overnight Rn Legal Nurse Chart Review jobs? Cities with the most Overnight Rn Legal Nurse Chart Review job openings:
What are the most commonly searched types of Rn Legal Nurse Chart Review jobs? The most popular types of Rn Legal Nurse Chart Review jobs are:
What states have the most Overnight Rn Legal Nurse Chart Review jobs? States with the most job openings for Overnight Rn Legal Nurse Chart Review jobs include:
Clinical RN Chart Reviewer, (Remote) CIC or CCS certified

Clinical RN Chart Reviewer, (Remote) CIC or CCS certified

ProgenyHealth LLC

Plymouth Meeting, PA โ€ข On-site

$90K - $110K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

New


Job description

Description:

Job Role


The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Senior Manager and support a culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity, and regulatory guidelines.

Requirements:

Responsibilities will include:

  • Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines.
  • Analysis of claims data to optimize reimbursement by ensuring that the diagnosis codes, procedure codes, and supporting documentation accurately support the service rendered.
  • Ensures claims analysis complies with ethical coding standards, guidelines, and regulatory requirements.
  • Responsible for performing clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered.
  • Utilize Clinical Review Tools and EMR Systems.
  • Research reimbursement regulations for claim payment compliance to support and validate audit findings.
  • Assist with the development of claims audit process documentation, including workflow diagrams, policies and procedures, and standard operating procedures.
  • Detect discrepancies in provider billing and recommend adjustments to ensure proper reimbursement.


Qualifications:

  • Registered Nurse required, preferable NICU
  • 2+ years with inpatient claims, required, preferably NICU and maternity
  • Inpatient Coding Certification required - CCS or CIC. If not currently certified, requirement to obtain CIC or CCS within 6 months of hire, applicant responsible for exam and associated fees*
  • Experience in nursing, inpatient coding and reimbursement guidelines, and specifically, has a solid understanding of the MS-DRG, AP-DRG and APR-DRG payment systems.
  • 2+ years of working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, payer reimbursement policies, medical necessity criteria and coding terminology.
  • Adherence to official coding guidelines, coding clinic determinations, and CMS and other regulatory compliance guidelines and mandates.
  • Requires expert coding knowledge - DRG, ICD-10, CPT, HCPCS codes.
  • Experience with appeals is strongly preferred.
  • Excellent communication skills, both oral and written.
  • Strong interpersonal skills that will support collaborative teamwork.
  • Proficient in Microsoft Office: Word and Excel; Access โ€“ highly preferred.
  • Ability to work independently and within a team.
  • Critical listening, thinking, decision making and problem solving.


Benefits


This position has a salary range of $90,000 - $110,000 annually based on relevant experience. Some of the benefits we offer our team are:

  • Paid Time Off
  • Paid Parental Leave
  • Medical, dental, vision benefits
  • 401K with company match
  • Short- and Long-Term Disability
  • Group Life Insurance
  • Tuition reimbursement
  • Professional development opportunities
  • Business Casual work environment
ProgenyHealth positively recruits people from diverse backgrounds, including individuals with disabilities - if you need an accommodation to interview, please contact us by email: careers@progenyhealth.com


Equal Opportunity Employer, including individuals with disabilities and veterans.