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Remote Rn Chart Review Jobs in Cape Cod, MA (NOW HIRING)

Nurse Compliance Manager

Boston, MA · Remote

$140K - $150K/yr

... audit reviews to strengthen regulatory adherence, audit readiness, and quality performance. You ... This role requires a strong clinical background (RN required), deep knowledge of healthcare ...

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Remote Rn Chart Review information

What are the key skills and qualifications needed to thrive as a Remote RN Chart Review, and why are they important?

To thrive as a Remote RN Chart Review, you need a thorough understanding of clinical guidelines, patient care documentation, and medical coding, supported by an active RN license and experience in clinical settings. Proficiency with electronic medical records (EMR) systems, chart auditing tools, and sometimes certification in coding (like CPC or CCS) is often required. Strong attention to detail, analytical thinking, and effective written communication are vital soft skills for accurately reviewing and summarizing medical records. These skills and qualifications ensure the accuracy and compliance of patient documentation, which is critical for quality assurance and regulatory standards in healthcare.

How Can I Get a Remote Job as a Chart Review RN?

The qualifications to get a remote job as a chart review nurse include a nursing degree, a nursing license, and experience using medical records and coding systems. You can start out on this career path by becoming a registered nurse (RN) or a practical nurse (LPN). This process involves earning an associate or bachelor’s degree in nursing and passing the NCLEX-RN licensing exam. It’s essential to have strong communication and analytical skills, attention to detail, and a reliable computer with internet access to work from home. Earning certification from the American Association of Medical Audit Specialists or the American Academy of Professional Coders is a plus.

What is a Remote RN Chart Review?

A Remote RN Chart Review is a nursing role where registered nurses review and analyze patient medical records from a remote location, rather than working on-site at a hospital or clinic. These nurses assess documentation for accuracy, completeness, and compliance with healthcare regulations. Their work helps ensure quality care, proper coding for billing, and adherence to legal standards. Remote chart reviewers often work for insurance companies, healthcare organizations, or third-party vendors, using secure digital platforms to access and evaluate patient charts.

What is the difference between Remote Rn Chart Review vs Remote LPN Chart Review?

AspectRemote Rn Chart ReviewRemote LPN Chart Review
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentHealthcare facilities, insurance companies, telehealthSimilar settings, often with more limited scope
Job ResponsibilitiesComprehensive chart review, complex case analysisBasic chart review, documentation verification

Remote Rn Chart Review and Remote LPN Chart Review both involve reviewing patient records remotely. However, RNs typically handle more complex cases requiring a broader scope of practice and higher credentials, while LPNs focus on more routine documentation tasks. Both roles are essential in healthcare documentation and insurance claims, but RNs generally have more advanced responsibilities and qualifications.

What are some common challenges faced by Remote RN Chart Review nurses, and how can they be overcome?

Remote RN Chart Review nurses often encounter challenges such as managing large volumes of medical records, ensuring data accuracy, and maintaining effective communication with healthcare teams from a distance. Staying organized and utilizing electronic health record (EHR) systems efficiently can help manage workload and prevent errors. Proactive communication through secure messaging or virtual meetings is crucial for clarifying documentation and collaborating with physicians and other staff. Additionally, ongoing training in compliance and evolving chart review standards can help nurses stay current and confident in their role.
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What cities near Cape Cod, MA are hiring for Remote Rn Chart Review jobs? Cities near Cape Cod, MA with the most Remote Rn Chart Review job openings:
Occupational Health Registered Nurse - Reliant Medical Group

Occupational Health Registered Nurse - Reliant Medical Group

UnitedHealth Group

Worcester, MA • Remote

$29 - $52/hr

Full-time

Retirement

Re-posted 6 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 145 frontline employees who took The Breakroom Quiz

190th of 880 rated healthcare providers


Job description

$2,500 Sign-On Bonus for External Candidates

Explore opportunities withAtriusHealth,part of the Optum family of businesses.We'rean innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our entire team of providers (physicians,PA/NPs and ancillary clinicians) works collaboratively with a value-based philosophy within ourgrouppractice as well as with hospitals, rehab and nursing facilities. Be part of our vision to transform care and improve lives by building trust,understandingand shared decision-making with every patient. Join us and discover the meaning behindCaring. Connecting. Growing together.  


The Registered Nurse for Occupational Health is responsible for the development and administration of efficient and professional operations of occupational health services in accordance with company policies, practices, procedures and applicable regulations. Additionally, this position collaborates with key Clinic Operations stakeholders to educate others regarding regulatory or clinical guidelines. The Clinical Program Nurse for Occupational Health works in a less structured, self-directed environment providing clinical guidance and serves as a resource for providers and clinical staff.


Primary Responsibilities:

  • Maintain knowledge of occupational health standards and state and federal regulatory standards including, but not limited to, CDC, OSHA, HIPAA, The Joint Commission, CMMS and state Boards of Nursing and Medical Boards.
  • Serve as a subject matter expert regarding new or existing regulatory requirements
  • Maintain occupational health records and ensures accuracy of records in applicable software systems
  • Maintain employee immunization program, to include tracking due dates, notifying employees and supervisors of required actions and follow-up to ensure timely compliance
  • Assess enterprise occupational health needs; development, implement and manage new occupational health programs based on identified needs
  • Coordinate and collect data and prepare reports used by management and executive leaders to evaluate program effectiveness
  • Participate in the development and implementation of appropriate quality improvement processes and monitor key indicators
  • Attend multidisciplinary team meetings as scheduled to maintain collaborative relationships and open communication
  • Perform all duties for internal and external customers in a timely and responsible manner representing the company in a professional manner
  • Consistently demonstrate excellent interpersonal and customer service skills
  • Perform all other related duties as assigned


This is a hybrid position that will be responsible for both remote and office-based responsibilities to best support the department.


You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Bachelor's degree in Nursing or Associate's degree in Nursing
  • Registered Nurse with current unrestricted license to practice in the applicable state of employment
  • 3 years of healthcare experience in a managed care setting, hospital setting and/or physician practice setting
  • Basic understanding of federal and state regulations applicable to occupational and environmental  health and safety
  • Proficient computer skills including Microsoft Word, Excel, Power Point and the ability to master other departmental specific programs/applications
  • Proven independent problem identification/resolution and decision making skills
  • Proven able to prioritize, plan and handle multiple tasks and demands simultaneously
  • Demonstrated ability to work with minimal guidance; seeks guidance on only the most complex tasks
  • Demonstrated ability to translate concepts into practice
  • Demonstrated ability to coach and provide feedback; ability to guide others
  • This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease


Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29 to $52 per hour based on full-time employment. We comply with all minimum wage laws as applicable.


At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.


UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


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