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Remote Rn Legal Nurse Chart Review Jobs (NOW HIRING)

TEEMA Group

REMOTE RN - Quality Review

Phoenix, AZ · Remote

$42 - $43.50/hr

This role focuses on reviewing clinical cases, identifying potential quality or safety concerns ... Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) * ...

MPF Federal

Telehealth RN - Evergreen

$35/hr

Accurately chart calls in our EHR and follow compliance protocols * Team Collaboration: Work closely with a supportive leadership team and fellow remote RNs If you're an experienced nurse with a calm ...

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Remote Rn Legal Nurse Chart Review information

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$50K

$87.7K

$126K

How much do remote rn legal nurse chart review jobs pay per year?

As of Jul 28, 2026, the average yearly pay for remote rn legal nurse chart review in the United States is $87,681.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $101,500.00 per year, depending on experience, location, and employer.

What is the difference between Remote Rn Legal Nurse Chart Review vs Remote Rn Medical Records Reviewer?

AspectRemote Rn Legal Nurse Chart ReviewRemote Rn Medical Records Reviewer
CredentialsRegistered Nurse (RN), Legal Nurse Consultant certification often preferredRegistered Nurse (RN), sometimes with medical records certification
Work EnvironmentRemote, legal or healthcare settings, law firms, insurance companiesRemote, healthcare facilities, insurance companies, legal firms
Job FocusAnalyzing medical records for legal cases, expert reportsReviewing medical records for accuracy, completeness, compliance
Industry UsageLegal, healthcare, insuranceHealthcare, insurance, legal

Both roles involve reviewing medical records remotely, but Remote Rn Legal Nurse Chart Review focuses on legal case analysis, while Remote Rn Medical Records Reviewer emphasizes record accuracy and compliance. Understanding these differences helps professionals choose the right career path or job opportunity.

What is a Remote RN Legal Nurse Chart Review?

A Remote RN Legal Nurse Chart Review is a role where a registered nurse (RN) works remotely to analyze and interpret medical records for legal cases. These nurses use their clinical expertise to evaluate medical documentation, identify standards of care, and provide objective opinions that assist attorneys in understanding complex medical issues relevant to legal claims. Their work is essential in cases involving medical malpractice, personal injury, or insurance disputes. By working remotely, these nurses can collaborate with law firms or insurance companies from any location, often on a flexible or contract basis.

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

To thrive as a Remote RN Legal Nurse Chart Review specialist, you need a current RN license, strong clinical experience, and in-depth knowledge of medical terminology and healthcare standards. Familiarity with electronic medical records (EMRs), case management software, and legal documentation systems is crucial, as is certification in legal nurse consulting (LNCC) for added credibility. Attention to detail, analytical thinking, and strong written communication are essential soft skills for interpreting medical records and preparing clear legal reports. These skills enable accurate, objective reviews that support legal teams and ensure high-quality case outcomes.

What are some common challenges faced by Remote RN Legal Nurse Chart Reviewers and how can they be managed?

Remote RN Legal Nurse Chart Reviewers often encounter challenges such as interpreting complex medical records, managing large volumes of documentation, and maintaining clear communication with legal teams. Staying organized with efficient digital tools and setting up a dedicated, distraction-free workspace can help manage workload effectively. Additionally, ongoing education in legal procedures and regular collaboration with attorneys and other medical experts are essential for delivering accurate, timely reviews and building strong professional relationships.
More about Remote Rn Legal Nurse Chart Review jobs
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Remote Rn Legal Nurse Chart Review jobs near you
Infographic showing various Remote Rn Legal Nurse Chart Review job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 81% Full Time, 15% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $87,681 per year, or $42.2 per hour.
Clinical RN Chart Reviewer, (Remote) CIC or CCS certified

Clinical RN Chart Reviewer, (Remote) CIC or CCS certified

ProgenyHealth LLC

Remote

$90K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Job Type
Full-time
Description
Job Role
The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Senior Manager and support a culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity, and regulatory guidelines.
Requirements
Responsibilities will include:
  • Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines.
  • Analysis of claims data to optimize reimbursement by ensuring that the diagnosis codes, procedure codes, and supporting documentation accurately support the service rendered.
  • Ensures claims analysis complies with ethical coding standards, guidelines, and regulatory requirements.
  • Responsible for performing clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered.
  • Utilize Clinical Review Tools and EMR Systems.
  • Research reimbursement regulations for claim payment compliance to support and validate audit findings.
  • Assist with the development of claims audit process documentation, including workflow diagrams, policies and procedures, and standard operating procedures.
  • Detect discrepancies in provider billing and recommend adjustments to ensure proper reimbursement.

Qualifications:
  • Registered Nurse required, preferable NICU
  • 2+ years with inpatient claims, required, preferably NICU and maternity
  • Inpatient Coding Certification required - CCS or CIC. If not currently certified, requirement to obtain CIC or CCS within 6 months of hire, applicant responsible for exam and associated fees*
  • Experience in nursing, inpatient coding and reimbursement guidelines, and specifically, has a solid understanding of the MS-DRG, AP-DRG and APR-DRG payment systems.
  • 2+ years of working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, payer reimbursement policies, medical necessity criteria and coding terminology.
  • Adherence to official coding guidelines, coding clinic determinations, and CMS and other regulatory compliance guidelines and mandates.
  • Requires expert coding knowledge - DRG, ICD-10, CPT, HCPCS codes.
  • Experience with appeals is strongly preferred.
  • Excellent communication skills, both oral and written.
  • Strong interpersonal skills that will support collaborative teamwork.
  • Proficient in Microsoft Office: Word and Excel; Access - highly preferred.
  • Ability to work independently and within a team.
  • Critical listening, thinking, decision making and problem solving.

Benefits
This position has a salary range of $90,000 - $110,000 annually based on relevant experience. Some of the benefits we offer our team are:
  • Paid Time Off
  • Paid Parental Leave
  • Medical, dental, vision benefits
  • 401K with company match
  • Short- and Long-Term Disability
  • Group Life Insurance
  • Tuition reimbursement
  • Professional development opportunities
  • Business Casual work environment
ProgenyHealth positively recruits people from diverse backgrounds, including individuals with disabilities - if you need an accommodation to interview, please contact us by email: careers@progenyhealth.com
Equal Opportunity Employer, including individuals with disabilities and veterans.
Salary Description
90,000 - 120,000

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