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Remote Rn Chart Review Jobs in New York, NY (NOW HIRING)

Mercor

Pediatric Nurse - Fully Remote

New York, NY · Remote

$55 - $65/hr

Review and evaluate AI-generated clinical outputs for pediatric scenarios. * Validate medical ... Active RN license (U.S.) * 5+ years of pediatric nursing experience (hospital, PICU, NICU, or ...

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Remote Rn Chart Review information

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 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.

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.

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.

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Remote Rn Chart Review jobs near you
Clinical Documentation Integrity Specialist- Remote

Clinical Documentation Integrity Specialist- Remote

Med-Metrix

Parsippany, NJ • On-site, Remote

$35 - $47/hr

Full-time

Posted 11 days ago

Med-Metrix rating

7.3

Company rating: 7.3 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

185th of 424 rated business services

Job description

Job Purpose
The Clinical Documentation Integrity Specialist focuses on the accuracy, completeness and consistency of inpatient clinical documentation to support coding and reporting of high-quality healthcare data. The Clinical Documentation Integrity Specialist performs concurrent chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient's severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding. The Clinical Documentation Integrity Specialist utilizes advanced knowledge of disease processes, medications, and has critical thinking to analyze current documentation to identify gaps in clinical documentation. The Clinical Documentation Integrity Specialist facilitates appropriate modifications to documentation through extensive interactions and collaborations with providers, coding, quality, and case management teams. This team member serves as an effective change agent as a resource and educator for providers and interdisciplinary care teams.
Duties and Responsibilities
  • Analyzes medical records to identify incomplete or inaccurate documentation related to diagnoses, treatments, and procedures
  • Periodically analyzes coding data to identify documentation variations and determine the cause and appropriateness of such variation; presents such findings to the management
  • Performs concurrent chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient's severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding
  • Works closely with physicians, nurses, and other healthcare professionals to clarify and obtain additional information needed for accurate documentation
  • Facilitates modification to clinical documentation supporting the clinical picture/level of severity rendered to all patients at the Hospital for DRG based payers through concurrent interactions with physicians and other members of the health care team
  • Collaborates with healthcare providers, physicians, nurses, and other stakeholders to clarify and improve documentation
  • Provides support to medical coders by ensuring documentation supports the assigned codes and compliance with coding guidelines
  • Communicates effectively with coding teams to address coding-related issues and promote accurate code assignment
  • Conducts training sessions for healthcare staff on proper documentation practices, coding guidelines, and compliance requirements, as requested by CDI manager
  • Utilizes data analytics to identify trends, patterns, and areas for improvement in documentation accuracy and completeness
  • Monitors daily DRG assignment, DRG reports and tracking areas for performance improvement to appropriately reflect optimal severity at admission and through the stay
  • Demonstrates an understanding of current Quality Measure Initiatives including Value Based Purchasing, Pay for Performance, and Readmission criteria
  • Ensuring documentation aligns with regulatory requirements, coding standards, and healthcare policies
  • Conducts regular audits to assess the quality of clinical documentation and identifying areas for improvement
  • Participates in quality improvement initiatives related to clinical documentation and coding accuracy
  • Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
  • Understand and comply with Information Security and HIPAA policies and procedures at all times

Qualifications
  • Minimum of 3 years of experience in inpatient clinical documentation improvement role required
  • Minimum of 5 years of nursing experience in adult acute care experience in med/surg, critical care, emergency, or PACU required
  • Certification minimum requirement - RN, CCDS and/or CDIP
  • Current state Registered Nursing license required.
  • Coding credential highly preferred (CCS, CPC, CCS-P)
  • Current state Registered Nurse license highly preferred
  • Clinic Fundamental knowledge of ICD-10 Official Coding Guidelines and DRG Reimbursement Systems
  • Demonstrated skills in analytical thinking, problem solving
  • Excellent communication and people skills
  • Self-motivated and able to work independently without close supervision
  • Proficient in the use of computers including Microsoft Office (Word, Excel, PowerPoint, etc.), Outlook, and other applications necessary to perform the CDS role such as an encoder or CDI workflow and reporting tool

Working Conditions
  • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Perform light lifting (up to 15 pounds)
  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
  • Work Environment: Works in a well-lighted/ventilated office setting. Subject to frequent interruptions. Minimal occupational exposure to infectious diseases, blood borne pathogens, hazardous chemicals, noxious odors, latex, or musculoskeletal injuries. Operate Office machines properly and in accordance with Hospital safety standards. Ability to work in accordance with Hospital Safety Standards

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

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