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Remote Medical Chart Review Jobs in Silver Spring, MD

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... review requests for care and determine medical necessity, appropriateness, and benefit coverage. You'll work fully remote and leverage MCG, medical policy, and regulatory guidelines while ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... review requests for care and determine medical necessity, appropriateness, and benefit coverage. You'll work fully remote and leverage MCG, medical policy, and regulatory guidelines while ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... review requests for care and determine medical necessity, appropriateness, and benefit coverage. You'll work fully remote and leverage MCG, medical policy, and regulatory guidelines while ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... review requests for care and determine medical necessity, appropriateness, and benefit coverage. You'll work fully remote and leverage MCG, medical policy, and regulatory guidelines while ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... review requests for care and determine medical necessity, appropriateness, and benefit coverage. You'll work fully remote and leverage MCG, medical policy, and regulatory guidelines while ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... review requests for care and determine medical necessity, appropriateness, and benefit coverage. You'll work fully remote and leverage MCG, medical policy, and regulatory guidelines while ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... review requests for care and determine medical necessity, appropriateness, and benefit coverage. You'll work fully remote and leverage MCG, medical policy, and regulatory guidelines while ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... review requests for care and determine medical necessity, appropriateness, and benefit coverage. You'll work fully remote and leverage MCG, medical policy, and regulatory guidelines while ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... review requests for care and determine medical necessity, appropriateness, and benefit coverage. You'll work fully remote and leverage MCG, medical policy, and regulatory guidelines while ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... review requests for care and determine medical necessity, appropriateness, and benefit coverage. You'll work fully remote and leverage MCG, medical policy, and regulatory guidelines while ...

CINQCARE

Sr. Director, Risk Adjustment (0778)

Washington, DC · Remote

$146K - $183K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Direct retrospective and prospective chart review programs; manage vendor relationships and ... Medical Plans: Two comprehensive options offered to Team members. * 401K: 4% employer match for ...

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All JobsMedical Chart Review JobsRemote Medical Chart Review JobsRemote Medical Chart Review Jobs in Silver Spring, MD

Remote Medical Chart Review information

See Silver Spring, MD salary details

$37.7K

$170.3K

$348.4K

How much do remote medical chart review jobs pay per year?

As of Aug 18, 2026, the average yearly pay for remote medical chart review in Silver Spring, MD is $170,295.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,200.00 and $277,600.00 per year, depending on experience, location, and employer.

What is a remote medical chart review?

A Remote Medical Chart Review job involves evaluating patient medical records to ensure accuracy, compliance, and completeness. Professionals in this role typically review charts for coding accuracy, quality assurance, or risk adjustment purposes. This position is commonly held by healthcare professionals such as nurses, medical coders, or physicians. Work is done remotely using secure electronic health record (EHR) systems. It requires strong attention to detail, medical knowledge, and familiarity with healthcare regulations.

What are the key skills and qualifications needed to thrive in remote medical chart review?

To thrive as a Remote Medical Chart Review professional, you need a strong knowledge of medical terminology, clinical guidelines, and healthcare documentation, often supported by experience in nursing or health information management. Familiarity with electronic health record (EHR) systems, chart audit tools, and sometimes certification as a Registered Nurse (RN) or Certified Professional Coder (CPC) is typically required. Strong attention to detail, time management, and clear written communication make candidates stand out in this data-focused, independent role. These skills ensure accurate and compliant chart reviews, supporting healthcare quality and risk management while working remotely.

What are some typical challenges faced by professionals in remote medical chart review roles?

One common challenge in Remote Medical Chart Review positions is managing large volumes of medical records while maintaining accuracy and compliance with healthcare regulations. Working remotely requires a high degree of self-motivation, time management, and discipline to meet productivity targets and deadlines. Additionally, interpreting diverse documentation styles across facilities can require strong analytical and problem-solving skills. By understanding these aspects, applicants can better prepare for success and find strategies to thrive in this detail-oriented role.

How to become a remote medical chart review?

To become a remote medical chart reviewer, typically one needs a healthcare background such as a registered nurse, medical coder, or healthcare administrator, along with knowledge of medical terminology and chart documentation. Relevant certifications like CPC or RHIT can enhance prospects, and strong attention to detail is essential. Many roles require experience with electronic health records (EHR) systems and the ability to work independently in a remote environment.

What are popular job titles related to Remote Medical Chart Review jobs in Silver Spring, MD?

For Remote Medical Chart Review jobs in Silver Spring, MD, the most frequently searched job titles are:

What job categories do people searching Remote Medical Chart Review jobs in Silver Spring, MD look for?

The top searched job categories for Remote Medical Chart Review jobs in Silver Spring, MD are:

What cities near Silver Spring, MD are hiring for Remote Medical Chart Review jobs?

Cities near Silver Spring, MD with the most Remote Medical Chart Review job openings:

Remote Medical Chart Review jobs near you

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 26 days ago

Job description

Utilization Management Specialist (UM / Utilization Review Nurse) — Remote

Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch) - Flex after ramp-up start time between 7:00am–9:00am ET Pay (W2): USD 51.00/H

Job overview

In this role, you’ll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You’ll work fully remote and leverage MCG, medical policy, and regulatory guidelines while collaborating with Medical Directors and internal teams to support timely, accurate authorization decisions.

What you’ll do

  • Perform prospective, concurrent, and retrospective utilization reviews (medical + behavioral health).
  • Make medical necessity / appropriateness determinations and support prior authorizations.
  • Use clinical criteria and policy resources daily (including MCG / Milliman Care Guidelines).
  • Review clinical documentation, benefits, and mandates to ensure services align with coverage and guidelines.
  • Research diagnoses/treatments and high-cost services; summarize findings and escalate complex cases to Medical Directors as needed.
  • Collaborate with internal partners and providers to support benefit application and appropriate levels/settings of care.
  • Maintain accurate documentation and protect PHI while managing a busy caseload.

Required qualifications

  • Active RN or LPN license (RN preferred) — Maryland compact/eligibility required
  • 5+ years clinical nursing experience
  • 2+ years care management / utilization management experience
  • MCG experience (required)
  • Experience supporting Commercial/FEP/Medicare lines of business and applying medical policy/regulatory standards
  • Strong critical thinking, written communication, and ability to work independently in a remote setting
  • Comfortable with web-based tools + Microsoft Office (Word/Excel/PowerPoint)
  • Guiding Care and FACETS (required)

Nice to have

  • Critical Care or ER clinical background
  • Experience with LCD/NCD, Medicare guidelines, ASAM, or other authorization criteria sets

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1