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Remote Chart Review Nurse Jobs (NOW HIRING)

tenavistaffing

HEDIS Chart Retrieval Nurse

Pittsburgh, PA · Remote

$29.25 - $38.75/hr

You will coordinate record retrieval, review incoming records for completeness, upload ... Ability to work independently in a remote, deadline-driven environment. Contract Details * Monday ...

VIVA

HEDIS Review Nurse

$31 - $41/hr

Remote Review Nurse SUMMARY DESCRIPTION: The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS ...

VIVA USA INC

HEDIS Review Nurse

Chicago, IL · On-site +1

$31.25 - $41.25/hr

Remote Review Nurse SUMMARY DESCRIPTION: The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS ...

Sentara Healthcare

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site +1

The Utilization Review Nurse is responsible for utilization management services within the scope of ... For positions that are available as remote work, Sentara Health employs associates in the following ...

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

Actalent

Clinical Review Nurse - Remote

$34 - $40/hr

Clinical Review Nurse (Remote) Make a meaningful impact on patient care from the comfort of your home. We are seeking an experienced Clinical Review Nurse (RN) to join our growing healthcare team. In ...

silvercross

Utilization Review Nurse

$34.73 - $45.15/hr

Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site +1

$34.73 - $45.15/hr

Nurse, Registered (RN) licensure * BSN preferred. 2-5 years previous Utilization Review experience ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...

Centene

Clinical Review Nurse - Concurrent Review

$27.02 - $48.55/hr

The position is remote/work from home; applicants must hold an IL RN licensure. The position is supporting Utilization Management/Concurrent Review for the YouthCare program. The position supports ...

ePATHUSA Inc

Medical Review Nurse

VA · Remote

$76K - $97K/yr

This is a remote position. Seeking Registered Nurse for fully remote role to perform complex medical record and claim reviews (Standard or Program Integrity) to make coverage determinations based on ...

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How much do remote chart review nurse jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for remote chart review nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What is a remote chart review nurse?

A Remote Chart Review Nurse is a licensed nurse who reviews medical records remotely to ensure accuracy, compliance, and quality of care. They analyze patient charts for coding accuracy, insurance requirements, risk adjustment, or legal compliance. This role is often found in insurance companies, healthcare organizations, and legal firms. It requires strong attention to detail, clinical knowledge, and proficiency in electronic health records (EHR) systems.

What does a remote chart review nurse do?

A Remote Chart Review Nurse spends most of their day independently reviewing patient medical records, extracting relevant clinical data, and ensuring accuracy and compliance with guidelines. This role often includes collaborating with other nurses, physicians, and quality assurance teams via virtual meetings or secure messaging platforms. Tasks can range from auditing charts for quality measures to preparing summaries or reports that support clinical or insurance decisions. While most of the work is self-directed, there may be deadlines to meet and occasional team meetings or training sessions to attend. This flexible structure allows you to work from home while still playing a key role in improving patient care quality.

What skills and qualifications are needed to be a remote chart review nurse?

To thrive as a Remote Chart Review Nurse, you need an active RN license, strong clinical knowledge, and proficient medical record analysis skills. Familiarity with electronic health record (EHR) systems, HIPAA compliance, and URAC or NCQA standards is typically required, and experience with chart review software is a plus. Excellent attention to detail, time management, and strong written communication are key soft skills in this remote position. These abilities are crucial for ensuring accurate, timely reviews of patient charts, maintaining patient privacy, and supporting healthcare decision-making from a remote environment.

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Remote Chart Review Nurse jobs near you
Infographic showing various Remote Chart Review Nurse job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

HEDIS Chart Retrieval Nurse

Pittsburgh, PA • Remote

tenavistaffing
See more jobs at tenavistaffingexternal

$29.25 - $38.75/hr

Contractor

Medical, PTO

Posted 12 days ago

Job description

HEDIS Chart Retrieval Nurse

Position Overview

The HEDIS Chart Retrieval Nurse supports the health plan's annual HEDIS quality data collection efforts by obtaining medical records needed to validate HEDIS measures and close documentation gaps.

In this role, you will conduct outbound outreach to physician offices, hospitals, clinics, and medical records departments to request required documentation. You will coordinate record retrieval, review incoming records for completeness, upload documentation into the health plan's secure system, and track retrieval progress throughout the project.

This is a fast-paced, deadline-driven role requiring strong communication, organization, attention to detail, and an understanding of clinical documentation and HEDIS quality measures.

Key Responsibilities

  • Conduct outbound calls to physician offices, hospitals, clinics, and medical records departments to request records required for HEDIS measures.
  • Clearly communicate the purpose of each request, required documentation, applicable date ranges, and release-of-information requirements.
  • Coordinate with provider office staff and medical records departments to determine the appropriate method for securely transmitting records.
  • Follow up on outstanding requests to ensure medical records are received within established project timelines.
  • Review received documentation for completeness and confirm that requested records have been provided.
  • Upload medical records into the health plan's secure portal or designated chart retrieval platform.
  • Maintain accurate documentation of outreach attempts, provider contacts, pending requests, completed retrievals, and follow-up activity.
  • Escalate delays, access issues, incomplete records, and other retrieval barriers to the project lead or supervisor.
  • Manage an assigned call queue and daily outreach workload to meet productivity and retrieval targets.
  • Maintain compliance with HIPAA requirements and protect all confidential and protected health information.
  • Perform additional project-related duties as assigned.

Qualifications

  • Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license.
  • (compacted license preferred or PA)
  • Minimum of 1 year of clinical, managed care, quality, medical records, or related healthcare experience.
  • Prior HEDIS, medical record retrieval, chart review, or chart abstraction experience preferred.
  • Working knowledge of medical terminology, clinical documentation, and EMR/EHR systems.
  • Familiarity with HEDIS quality measures and healthcare quality reporting preferred.
  • Strong telephone communication and provider outreach skills.
  • Strong attention to detail and ability to accurately document and track multiple record requests.
  • Ability to work independently in a remote, deadline-driven environment.

Contract Details

  • Monday through Friday schedule
  • Eastern Time business hours
  • Contract position: This contract does not include health insurance, paid time off, paid holidays, or other employee benefits.

Application Requirements

  • Must be legally authorized to work in the United States.
  • Candidates must be willing to complete a background check and drug screening if required.
  • Candidates will be asked to provide their home address and complete employment eligibility questions during the application process.

Interested in Learning More?

Apply directly or reach out to learn more about the opportunity.