Dallas, TX · Remote
$42/hr
The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for ...
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Dallas, TX · Remote
$42/hr
The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for ...
Denial of payment may be based on insufficient medical record documentation to support the level of ... Normal remote home business office conditions
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Denial of payment may be based on insufficient medical record documentation to support the level of ... Normal remote home business office conditions
Review and evaluate electronic medical records of emergency department admissions and screen for ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
New
Review and evaluate electronic medical records of emergency department admissions and screen for ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...
New
Baltimore, MD · On-site +1
$80K - $95K/yr
Perform automated and complex medical record and claim reviews to make coverage determinations ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...
Baltimore, MD · On-site +1
$80K - $95K/yr
Perform automated and complex medical record and claim reviews to make coverage determinations ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...
Perform automated and complex medical record and claim reviews to make coverage determinations ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...
Perform automated and complex medical record and claim reviews to make coverage determinations ... Ability to work well in a remote team environment, to collaborate with others, and interface with ...
Denial of payment may be based on insufficient medical record documentation to support the level of ... Normal remote home business office conditions
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Denial of payment may be based on insufficient medical record documentation to support the level of ... Normal remote home business office conditions
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses ... Conduct review of claim data and medical records to make clinical decisions on the coverage ...
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses ... Conduct review of claim data and medical records to make clinical decisions on the coverage ...
CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses ... Conduct review of claim data and medical records to make clinical decisions on the coverage ...
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CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses ... Conduct review of claim data and medical records to make clinical decisions on the coverage ...
$29 - $52/hr
Complete focused review of medical records to evaluate clinical course of care as applicable ... Active and unrestricted RN license in the state of residence * 2+ years of clinical experience ...
$29 - $52/hr
Complete focused review of medical records to evaluate clinical course of care as applicable ... Active and unrestricted RN license in the state of residence * 2+ years of clinical experience ...
$29 - $52/hr
Complete focused review of medical records to evaluate clinical course of care as applicable ... Active and unrestricted RN license in the state of residence * 2+ years of clinical experience ...
$29 - $52/hr
Complete focused review of medical records to evaluate clinical course of care as applicable ... Active and unrestricted RN license in the state of residence * 2+ years of clinical experience ...
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Performs medical record review for severity of illness and intensity of service; liaison function ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
Performs medical record review for severity of illness and intensity of service; liaison function ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...
$29 - $52/hr
Complete focused review of medical records to evaluate clinical course of care as applicable ... Active and unrestricted RN license in the state of residence * 2+ years of clinical experience ...
$29 - $52/hr
Complete focused review of medical records to evaluate clinical course of care as applicable ... Active and unrestricted RN license in the state of residence * 2+ years of clinical experience ...
Atlanta, GA · Remote
$35 - $45.94/hr
You will perform frequent case reviews, check medical records and speak with care providers ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Atlanta, GA · Remote
$35 - $45.94/hr
You will perform frequent case reviews, check medical records and speak with care providers ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Reviews all medical records and addresses each question posed by the client, utilizing client ... Provides copies of any criteria utilized in a review with the report promptly * Returns cases on or ...
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Reviews all medical records and addresses each question posed by the client, utilizing client ... Provides copies of any criteria utilized in a review with the report promptly * Returns cases on or ...
Dallas, TX · Remote
$35 - $45.94/hr
You will perform frequent case reviews, check medical records and speak with care providers ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Dallas, TX · Remote
$35 - $45.94/hr
You will perform frequent case reviews, check medical records and speak with care providers ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Miami, FL · Remote
$35 - $45.94/hr
You will perform frequent case reviews, check medical records and speak with care providers ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Miami, FL · Remote
$35 - $45.94/hr
You will perform frequent case reviews, check medical records and speak with care providers ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Tempe, AZ · Remote
$35 - $45.94/hr
You will perform frequent case reviews, check medical records and speak with care providers ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Tempe, AZ · Remote
$35 - $45.94/hr
You will perform frequent case reviews, check medical records and speak with care providers ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Review Medical Records: Thoroughly review and analyze patient medical documents related to the case. * Address Clinical Questions: Respond to clinical queries from the insurance carrier regarding the ...
Review Medical Records: Thoroughly review and analyze patient medical documents related to the case. * Address Clinical Questions: Respond to clinical queries from the insurance carrier regarding the ...
$34 - $47/hr
This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... Refer cases to Medical Directors as needed/appropriate * Maintain knowledge of state and federal ...
$34 - $47/hr
This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... Refer cases to Medical Directors as needed/appropriate * Maintain knowledge of state and federal ...
Reviews all medical records and addresses each question posed by the client, utilizing client ... Provides copies of any criteria utilized in a review with the report promptly * Returns cases on or ...
Reviews all medical records and addresses each question posed by the client, utilizing client ... Provides copies of any criteria utilized in a review with the report promptly * Returns cases on or ...
$17.31 - $21.68
3% of jobs
$21.68 - $26.05
7% of jobs
$29.33 is the 25th percentile. Wages below this are outliers.
$26.05 - $30.42
20% of jobs
The median wage is $34.13 / hr.
$30.42 - $34.79
24% of jobs
$34.79 - $39.16
14% of jobs
$41.84 is the 75th percentile. Wages above this are outliers.
$39.16 - $43.53
11% of jobs
$43.53 - $47.90
7% of jobs
$47.90 - $52.27
5% of jobs
$52.27 - $56.64
3% of jobs
$56.64 - $61.01
3% of jobs
$61.01 - $65.38
2% of jobs
$17
$38
$65
To thrive as a Remote Medical Record Review Nurse, you need a valid RN license, strong clinical background, and expertise in medical terminology and record abstraction. Familiarity with electronic health record (EHR) systems, HIPAA compliance, and sometimes experience with coding or utilization review platforms is often required. Exceptional attention to detail, self-motivation, and strong written communication skills help set top performers apart. These skills and qualities ensure accurate, confidential, and timely medical record evaluations in a remote setting.
A typical workday involves reviewing large volumes of patient medical records for accuracy and completeness, identifying any discrepancies, and ensuring that documentation meets compliance and regulatory standards. Most of the work is performed independently from a home office, but collaboration with other nurses, physicians, or case managers may occur via virtual meetings or secure messaging. You will regularly submit detailed reports and may participate in team discussions to improve workflows or resolve complex cases. The pace of work can fluctuate depending on caseloads, but strong organizational skills and adaptability are key to staying on top of assignments.
A Remote Medical Record Review Nurse is a licensed nurse who reviews patient medical records to ensure accuracy, compliance, and completeness. They analyze documentation for coding, insurance claims, legal cases, or quality assurance purposes. This role is typically performed from home, utilizing electronic health records (EHR) and other digital tools. Nurses in this position must have strong attention to detail, knowledge of medical terminology, and experience with clinical documentation.
$42/hr
Full-time
Posted 7 days ago
This is a contract assignment that will start right away and end on April 30th 2024
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) survey. The review nurse is responsible for reviewing and accurately performing comprehensive review of medical records to abstract relevant clinical data during HEDIS. HEDIS abstractions are completed in accordance with NCQA guidelines and technical specifications. Additional responsibilities include but not limited to folder and file management, annotating medical records and saving completed documents with correct naming conventions on a shared drive as well as data entry into QSHR.
ESSENTIAL FUNCTIONS:
JOB REQUIREMENTS:
Preferred Skills:
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