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Rn Medical Record Review Jobs (NOW HIRING)

Healthcare Support Staffing

HEDIS Nurse

Latham, NY

$29.25 - $38.75/hr

HEDIS RN/LPN Location: Latham, NY Start Date: 11/30/2015 Daily Responsibilities: * Performs provider/practitioner medical record reviews, abstraction and data entry for HEDIS and HEDIS-like measures

Integrated Resources INC

HEDIS LPN RN

New York, NY

$33 - $43.75/hr

Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ... RN/LPN 5+ years clinical experience, or other relevant experience 2+ years of quality improvement ...

Careers Integrated Resources Inc

HEDIS RN / LPN

Knoxville, TN · On-site

$28.75 - $38.25/hr

... medical record review preferred • Some travel involved • Must be able to work independently and have excellent organizational skills • Excellent telephone and communication skills required • ...

Careers Integrated Resources Inc

HEDIS RN / LPN

Brentwood, TN · On-site

$28.50 - $37.75/hr

... medical record review preferred • Some travel involved • Must be able to work independently and have excellent organizational skills • Excellent telephone and communication skills required • ...

Netsmart

Utilization Review Nurse (PRN)

Responsibilities * Review and evaluate electronic medical records of emergency department ... Current and unrestricted RN license * At least 3 years clinical experience in acute care setting in ...

Aviata at Lake Mary

Medical Record Coordinator

Lake Mary, FL

$15.50 - $20/hr

File information such as nurse's notes, resident's assessments, progress notes, lab reports, x-ray ... Review all records to assure ICD-9-CM coding is complete * Respond to request for medical records ...

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

As of Aug 19, 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.

Utilization Review RN - Per Diem*

CARSON VALLEY HEALTH

Gardnerville, NV • On-site

Other

Re-posted 22 days ago

Carson Valley Health rating

8.9

Company rating: 8.9 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Utilization Review RN - Per Diem

*IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.

Position Summary:

Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance company requirements for reimbursement.

Position Requirements:

Minimum Education

  • A Bachelor's Degree in Nursing preferred; three (3) years of clinical care or nursing experience; OR an equivalent combination of education and experience AND (2) two years' experience Utilization Review.

Certificate Preferred

  • CCM (certification in case management) is preferred.

License Required

  • Must be licensed as a Registered Nurse by the State of Nevada, and remain active with all annual licensing requirements.

Minimum Work Experience

  • Minimum of 1 year of case management or utilization management experience.
  • Knowledge of InterQual or McKesson criteria preferred.
  • Knowledge in conducting a medical record review for medical necessity.
  • Knowledge of basic ICD-10, CPT coding knowledge preferred.
  • Basic knowledge of regulations as set forth by The Centers for Medicare Medicaid Services.
  • Skill in operating a personal computer utilizing a variety of software applications.
  • Strong written and oral communication skills
  • Skill and ability to work independently
Position Essential Functions:

Chart Review

  • Conducts chart review to determine that InterQual-based care criteria is met.
  • Assist in determining if patients are in the correct hospital setting
  • Review elective surgery schedule
  • Review outpatient charts (observation)
  • Obtains appropriate patient records as required by payor agencies and initiates the UR Medical Director as necessary for unwarranted admissions

Hospital Reimbursements

  • Understand and demonstrate the requirements needed to maximize reimbursement to the hospital
  • Assist in obtaining authorizations as needed; including follow-up
  • Respond to insurance providers in a timely and thorough manner
  • Communicates with various hospital departments in a meaningful manner
  • Assists in ensuring appropriate room charges, patient status, discharge disposition, etc.
  • Reviews denials and collaborates on appeals of denials
  • Communicates with HIM staff and resolves discrepancies

Knowledge

  • Condition 44 documentation and requirement; HINN notification letters, ABN-advance beneficiary notice, Important Letter from Medicare, etc
  • Maintains practices consistent with the hospital's utilization review (UR) plan
  • Reviews the plans components and is a member of the utilization review committee
  • Obtains data and statistics addressed in the hospital's UR plan and presents information as needed
  • Ensures appropriate and cost-effective healthcare services to patients

Documentation

  • Demonstrates understanding and supports clinical documentation improvement strategies
  • Ability to efficiently locate priority clinical information in a medical record, and to critically interpret that information as part of a treatment plan.
  • Analyze clinical information to identify areas with potential for documentation improvement
  • Demonstrates collaborative work relationship with coding staff to assure documentation of discharge diagnosis and co-morbidities are complete and accurately reflect the patient's clinical status and care.
  • Reviews medical records concurrently, recognizes opportunities for documentation improvement, and follows up with appropriate staff.
  • Facilitates modifications to clinical documentation through collaborative interactions with physicians, nurses, and ancillary staff.

Carson Valley Health is proud to be recognized as a finalist in the "Best Places to Work" - Northern Nevada, 2021, 2022, 2024, 2025 & 2026!

We look forward to welcoming you to our team!

Per diem positions have no guaranteed hours or set schedule. The position will fill in for individuals who take unplanned and/or planned time off.

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