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Professional Remote Rn Chart Review Jobs in Washington, DC

QTC

Registered Nurse

Mclean, VA · On-site +1

Provide support with chart reviews/documentation, scheduling and confirming appointments, answering ... C., dba QTC Medical Group of Alaska, a Leidos QTC Health Services affiliated medical professional ...

Harris

Remote Care Management - CMA

Washington, DC · Remote

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

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Professional Remote Rn Chart Review information

What is the difference between Professional Remote Rn Chart Review vs Medical Records Reviewer?

AspectProfessional Remote Rn Chart ReviewMedical Records Reviewer
CredentialsRegistered Nurse (RN) licenseVaries; often includes medical background or certification
Work EnvironmentRemote, healthcare-focusedRemote or onsite, administrative or healthcare settings
Industry UsageHealthcare, insurance, legal casesHealthcare, insurance, legal documentation
Job FocusReviewing patient charts for accuracy, compliance, and medical necessityReviewing medical records for completeness, accuracy, and compliance

The Professional Remote Rn Chart Review primarily involves licensed RNs analyzing patient charts for medical accuracy and compliance, often for insurance or legal purposes. Medical Records Reviewers may have a broader background and focus on verifying the completeness and correctness of medical documentation. While both roles are remote and healthcare-related, the RN chart review emphasizes clinical expertise, whereas medical records reviewers may not require nursing credentials.

How to become a professional remote RN chart reviewer?

To become a professional remote RN chart reviewer, you typically need a valid registered nurse license, experience in clinical settings, and strong knowledge of medical documentation and coding. Familiarity with electronic health record (EHR) systems and attention to detail are essential, and some positions may require certification in medical coding or documentation review. Developing skills in chart analysis and understanding healthcare regulations can improve job prospects in this remote role.

What are the most commonly searched types of Remote Rn Chart Review jobs in Washington, DC?

The most popular types of Remote Rn Chart Review jobs in Washington, DC are:

Professional Remote Rn Chart Review jobs near you
Infographic showing various Professional Remote Rn Chart Review job openings in Washington, DC as of September 2026, with employment types broken down into 50% Full Time, 20% Part Time, and 30% Contract. Highlights an 10% In-person, and 90% Remote job distribution.

RN Reviewer/ Workers' Compensation Utilization Review - REMOTE

Washington, DC • Remote

MICHIGAN PEER REVIEW ORGANIZATION
See more jobs at MICHIGAN PEER REVIEW ORGANIZATIONexternal

Contractor

Posted 8 days ago

Job description

iMPROve Health is seeking an RN Reviewer (Workers' Compensation Utilization Review) to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc basis.  As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality and integrity of health care and your profession. Please note, this is not an employed position and our contracted fee is based on credential and specialty type.

BENEFITS:

  • Make a Difference: Use your clinical knowledge to improve the quality of care patients receive.
  • Professional Recognition: Join a network of highly respected experts in your specialty.
  • Competitive Compensation: Receive fair pay for your time and expertise.
  • Protect Standards of Care: Help uphold the integrity of your profession.
  • Work Remotely: Review cases from the convenience of your home or office.
Qualifications

  • Active, unrestricted RN license required; New York RN license strongly preferred.
  • Minimum three (3) years of experience in workers' compensation, utilization review, case management, or occupational health.
  • Working knowledge of Workers' Compensation Medical Treatment Guidelines and evidence-based clinical criteria.
  • Strong clinical assessment, critical thinking, and written communication skills.
  • Experience reviewing medical records and determining medical necessity preferred.

Responsibilities

  • Review treatment requests and medical records for medical necessity and guideline compliance.
  • Apply Workers' Compensation Medical Treatment Guidelines and applicable regulatory requirements.
  • Prepare clear, objective, and timely review determinations.
  • Maintain confidentiality and comply with HIPAA and other applicable privacy requirements.

Technical Requirements

  • Reliable high-speed internet/Wi-Fi connection.
  • Secure home office environment with the ability to protect confidential information.
  • Proficiency using web-based review platforms and Microsoft Office applications.

OTHER REQUIREMENTS:

  • Must complete the electronic credentialing application and receive organizational approval prior to performing a case review.
  • Must complete a conflict of interest attestation upon credentialing and prior to performing a case review.
  • Active hospital medical staff privileges may be required, as applicable.
  • Notify the organization in a timely manner of an adverse change in licensure or certification status, including board certification status.

EOE/VET/Disability