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Rn Medical Record Review Jobs (NOW HIRING)

CommonSpirit Health

RN II Med Surg 4N

Oxnard, CA · On-site

Feedback, Medical Record Review, Observation. * Advance Directives: Consistently and accurately ... Registered Nurse: CA, upon hire * Basic Life Support - CPR, upon hire * Advanced Cardiac Life ...

CommonSpirit Health

RN II Telemetry

Camarillo, CA · On-site

$2.0K - $2.8K/wk

Feedback, Medical Record Review, Observation. * Advance Directives: Consistently and accurately ... CA Registered Nurse - RN * Basic Life Support - BLS * Advanced Cardiac Life Support - ACLS

CommonSpirit Health

RN III Telemetry 3N

Oxnard, CA

$2.1K - $2.9K/wk

Feedback, Medical Record Review, Observation. * Advance Directives: Consistently and accurately ... CA Registered Nurse License: RN CA, upon hire * Basic Life Support - BLS, upon hire * Advanced ...

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RN Medical Record Review information

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How much do rn medical record review jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for rn medical record review in the United States is $44.91, according to ZipRecruiter salary data. Most workers in this role earn between $34.38 and $53.37 per hour, depending on experience, location, and employer.

What is an RN Medical Record Review?

An RN Medical Record Review job involves reviewing patient medical records to ensure accuracy, compliance, and quality of care. Nurses in this role assess documentation for completeness, identify discrepancies, and verify coding for billing or legal purposes. They may work for insurance companies, healthcare facilities, or legal teams to support audits, claims processing, and quality improvement initiatives. Strong attention to detail, knowledge of medical terminology, and experience in clinical care are essential for this role.

What does an RN Medical Record Review do?

A typical day for an RN Medical Record Review professional involves reviewing patient charts and documentation for accuracy, completeness, and compliance with healthcare regulations. You will often collaborate with healthcare providers to clarify or update records and may provide feedback or education on documentation best practices. The role usually involves working at a computer, either independently or as part of a quality assurance team. Attention to detail and strong communication skills are important, as you will frequently communicate findings or concerns with other clinical staff. This position offers valuable insights into the quality and compliance side of healthcare, and can open doors to opportunities in leadership, compliance, or informatics.

What are the key skills and qualifications needed to thrive in the RN Medical Record Review position?

To thrive as an RN Medical Record Review professional, you need a current RN license, strong clinical knowledge, and a keen eye for detail in reviewing patient records for accuracy and compliance. Familiarity with electronic health record (EHR) systems, medical coding, and experience with healthcare regulations such as HIPAA are essential. Excellent analytical, organizational, and communication skills help you stand out in this position. These abilities ensure that patient records are thorough and accurate, supporting quality care and regulatory compliance.

How to become a registered nurse medical record reviewer?

To become a registered nurse medical record reviewer, you typically need to hold an active RN license, gain experience in clinical nursing or healthcare documentation, and develop skills in medical record review and coding. Some positions may require certification in health information management or coding, such as Certified Coding Specialist (CCS), and familiarity with electronic health record systems. Continuing education and understanding of healthcare regulations can also enhance job prospects.

How to become an RN medical record reviewer?

To become an RN medical record reviewer, registered nurses typically need clinical experience and knowledge of medical documentation and coding. Many employers prefer candidates with familiarity in healthcare compliance, medical record systems, and sometimes certification in health information management or coding. Continuing education or specialized training in medical record review can enhance job prospects.
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RN Medical Record Review jobs near you
Infographic showing various Rn Medical Record Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $93,419 per year, or $44.9 per hour.

Medical Record Reviewer

Community Home Health Care & CIHC

Fort Wayne, IN

Full-time

Re-posted 10 days ago

Job description

Medical Record Reviewer

Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is essential to ensuring our client records meet professional standards and support safe, high-quality care.

What You’ll Do

Clinical Record Audits & Documentation Review

  • Perform monthly audits of skilled nursing notes for all visiting nurses.
  • Provide direct, timely feedback to nurses on missing or incorrect documentation.
  • Re-audit records when deficiencies continue and notify the Clinical Manager as needed.
  • Audit OASIS assessments (SOC, ROC, Recertification, and Follow-Up) prior to transmission.
  • Audit at least 10% of each RN Case Manager’s charts monthly, focusing on recerts, SOC, and ROC visits.
  • Audit all documentation for newly hired RN Case Managers during their probation period.
  • Complete discharge record reviews and notify RN Case Managers when discharge charts need QA review.

Deficiency Identification & Follow-Up

  • Review charts for accuracy, completion, legal compliance, and proper care documentation.
  • Document deficiencies on the Case Conference Review form.
  • Notify nurses and department staff of deficiencies and required corrections.
  • Conduct discharge analysis when clients leave the agency.

Reporting & Collaboration

  • Track patterns and trends in documentation issues.
  • Communicate concerns and recurring problems to the Clinical Manager.
  • Support corrective action steps when needed.
  • Compile a quarterly audit report summarizing the previous three months.
  • Assist with ongoing chart review processes as assigned.

What We’re Looking For

  • Active RN license in the State of Indiana.
  • Strong understanding of home health documentation standards, Medicare/Medicaid requirements, and OASIS.
  • Excellent attention to detail and strong organizational skills.
  • Ability to communicate clearly, professionally, and constructively with nursing staff.
  • Comfortable working fully in-office in a fast-paced environment.
  • Previous QA or chart auditing experience preferred, but strong clinical documentation skills will also be considered.

Schedule & Work Environment

  • Monday–Friday schedule, in-office at the Fort Wayne location.
  • Works closely with the Clinical Manager, RN Case Managers, and field staff.
  • Computer-based role with consistent chart auditing and record review responsibilities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state, or local laws. We are committed to creating a diverse and inclusive workplace for all employees.

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