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Remote Rn Chart Review Jobs in Madison, WI (NOW HIRING)

WPS

Medical Review Nurse Analyst

Madison, WI · On-site +1

$68K - $70K/yr

We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...

Quartz

RN Complex Care Specialist

Madison, WI · Remote

$72K - $90K/yr

As an RN Complex Care Specialist , you will lead the management and coordination of care for ... Proficiency using Epic systems and remote monitoring programs. * Cultural competence and ...

UW Health

Home Based Hospital Care-In Home RN

Madison, WI · On-site +1

$40.30 - $60.45/hr

... remote patient monitoring, video visits, and mobile diagnostic services to support safe, high ... Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction ...

MDS Solutions

REMOTE MDS Coordinator

Madison, WI · Remote

$34.50 - $44/hr

Review and verify MDS documentation and charting requirements to support the clinical services ... Nursing Experience in MDS Assessment: 3+ year * RN required * RAC-CT preferred * Thorough ...

Urrly

Telehealth Nurse Practitioner (Remote)

Madison, WI · Remote

$600 - $720/hr

Telehealth Nurse Practitioner * Location/Type: Wisconsin Remote (No travel) * Pay: $600$720/day ... Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

Corvel

Care Advocate Nurse

Madison, WI · Remote

$61K - $98K/yr

... ies), reviews medical data in CareMC, validates and secures medical information, assesses and ... This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ...

Urrly

Telehealth Nurse Practitioner

Madison, WI · Remote

$600 - $720/day

Location/Type: Wisconsin Remote (No travel) * Pay: $600-$720/day (1099 contractor, based on ... Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

WPS

Medical Director

Madison, WI · On-site +1

Work with RN(s) on local coverage determinations - reviewing new procedures that may involve new ... Remote Work Requirements * Wired (ethernet cable) internet connection from your router to your ...

WPS Health Solutions

Medical Director

Madison, WI · On-site +1

Work with RN(s) on local coverage determinations - reviewing new procedures that may involve new ... Remote Work Requirements * Wired (ethernet cable) internet connection from your router to your ...

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Remote Rn Chart Review information

See Madison, WI salary details

$15

$35

$62

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

As of Jul 30, 2026, the average hourly pay for remote rn chart review in Madison, WI is $35.55, according to ZipRecruiter salary data. Most workers in this role earn between $28.01 and $38.74 per hour, depending on experience, location, and employer.

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 are popular job titles related to Remote Rn Chart Review jobs in Madison, WI? For Remote Rn Chart Review jobs in Madison, WI, the most frequently searched job titles are:
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What cities near Madison, WI are hiring for Remote Rn Chart Review jobs? Cities near Madison, WI with the most Remote Rn Chart Review job openings:
Remote Rn Chart Review jobs near you
Infographic showing various Remote Rn Chart Review job openings in Madison, WI as of July 2026, with employment types broken down into 2% As Needed, 77% Full Time, 18% Part Time, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $73,934 per year, or $35.5 per hour.

Medical Review Nurse Analyst

WPS

Madison, WI • On-site, Remote

$68K - $70K/yr

Full-time

Medical, Dental, Retirement, PTO

Re-posted 13 days ago

Job description

Our Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This analyst ensures that providers are being reimbursed appropriately for services provided based on Medicare guidelines. This Medical Review Nurse Analyst reviews claims and delivers provider education on current billing and documentation requirements.
Salary Range$68,000 - $70,000The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.We are open to remote work in the following approved states:Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin
How do I know this opportunity is right for me? If you:
  • Can perform detailed reviews of medical records and documentation to determine the medical necessity of services.
  • Would enjoy reviewing submitted claims to ensure that billed services are medically necessary and correctly coded based on Medicare guidelines.
  • Want to ensure Medicare providers are correctly reimbursed when documentation supports services rendered.
  • Have prepared written clinical summaries and determinations with clear rationale for approvals, denials, or modifications.
  • Would like to educate providers in accordance with the Targeted Probe and Educate (TPE) program.
  • Can monitor the progress of assigned providers and educate on current billing and documentation requirements.
  • Want to ensure compliance with federal and state regulations, CMS guidelines, and company policies.
  • Enjoy staying current on clinical guidelines, medical policy updates, and industry best practices.

Minimum Qualifications
  • Associate's (ASN) or Bachelor's Degree in Nursing (BSN).
  • Active RN license, applicable to state of practice in good standing.
  • 1 or more years of clinical experience in a healthcare setting (hospital, homecare, skilled nursing, etc.).
  • Excellent written and verbal communication skills, with the ability to communicate complex medical information clearly and concisely.
  • Strong attention to detail and organizational skills to manage multiple cases simultaneously.
  • Basic knowledge and understanding of medical/clinical review processes.
  • Solid computer skills with experience working in multiple on-line systems including MS Outlook, Teams, OneNote, Word, and Excel.

Preferred Qualifications
  • Experience working for a Medicare Administrative Contractor (MAC).
  • Familiarity with Medicare guidelines and reimbursement processes.
  • Experience with medical record review or utilization review.

Remote Work Requirements
  • Wired (ethernet cable) internet connection from your router to your computer
  • High speed cable or fiber internet
  • Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net)
  • Please review Remote Worker FAQs for additional information

Benefits
  • Remote work options available
  • Performance bonus and/or merit increase opportunities
  • 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
  • Competitive paid time off
  • Health insurance, dental insurance, and telehealth services start DAY 1
  • Professional and Leadership Development Programs
  • Review additional benefits: (https://www.wpshealthsolutions.com/careers/)

Who We Are
WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.
Culture Drives Our Success
WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.
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This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation including fingerprinting prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services
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For further information, please review the Know Your Rights notice from the Department of Labor.

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