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How much do rn chart review jobs pay per hour?

As of Jul 25, 2026, the average hourly pay for rn chart review in the United States is $44.48, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $51.92 per hour, depending on experience, location, and employer.

What Does an RN Chart Review Do?

RN chart review jobs focus on performing medical record reviews. As a chart review nurse, you review patient healthcare information and records. Your duties include defining the level of care, determining the necessity of procedures related to diagnosis, and assessing discharge procedures. In this career, your responsibilities may also involve performing a utilization review for each case. You use charts and data to document the use of resources and specialists to provide medical services. You follow preset protocols when deciding on approval or denial of services based on chart information.

What is an RN Chart Review?

An RN Chart Review is a process where a Registered Nurse (RN) examines patient medical records to ensure accuracy, completeness, and compliance with healthcare regulations. This review helps identify any documentation errors, ensures that patient care meets quality standards, and supports billing and coding accuracy. RN Chart Reviewers play a critical role in maintaining the integrity of patient records and improving patient outcomes by providing feedback and recommendations based on their findings.

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

To thrive as an RN Chart Review nurse, you need a solid clinical background, strong analytical skills, and an active RN license, often accompanied by experience in case management or utilization review. Familiarity with electronic health records (EHRs), coding systems like ICD-10, and clinical documentation improvement tools is typically required. Attention to detail, critical thinking, and effective communication are essential soft skills for identifying inconsistencies and collaborating with healthcare teams. These competencies ensure accurate and compliant medical record evaluation, which supports optimal patient care and organizational quality standards.

What is the difference between Rn Chart Review vs Medical Records Technician?

AspectRn Chart ReviewMedical Records Technician
CredentialsRN license, healthcare experienceMedical records certification, administrative skills
Work EnvironmentHospitals, clinics, healthcare facilitiesMedical record departments, healthcare offices
Job FocusReviewing patient charts for accuracy and complianceOrganizing, coding, and managing medical records

Rn Chart Review professionals primarily focus on evaluating patient charts for accuracy, compliance, and quality assurance within healthcare settings. Medical Records Technicians handle the organization, coding, and management of medical records, often supporting billing and documentation processes. While both roles involve medical records, Rn Chart Review emphasizes clinical review, whereas Medical Records Technicians focus on record maintenance and data entry.

What are some common challenges RN Chart Reviewers face, and how can they be addressed?

RN Chart Reviewers often encounter challenges such as incomplete or inconsistent documentation, tight deadlines for case reviews, and staying current with evolving healthcare regulations. To overcome these issues, effective communication with clinical staff, strong attention to detail, and continuous education on coding and compliance standards are essential. Many organizations provide access to ongoing training and collaborative support from interdisciplinary teams, which helps reviewers maintain accuracy and efficiency in their assessments.
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Rn Chart Review jobs near you
Infographic showing various Rn 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 $92,525 per year, or $44.5 per hour.
Registered Nurse, Acute Care - Cooperstown Dialysis (Per-diem)

Registered Nurse, Acute Care - Cooperstown Dialysis (Per-diem)

Bassett Healthcare Network

Cooperstown, NY • On-site

Per diem

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 hours ago

Bassett Healthcare rating

7.9

Company rating: 7.9 out of 10

Based on 41 frontline employees who took The Breakroom Quiz

103rd of 890 rated healthcare providers

Job description

The best thing about this role
Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible.
About the department
Join Our Outpatient Dialysis Team - Bassett Medical Center in Cooperstown, NY
Make a meaningful impact while enjoying true work-life balance. Our outpatient dialysis unit cares for patients with renal disease and ESRD using state-of-the-art technology and a supportive, multidisciplinary team.
What We Offer:
• Predictable daytime hours
• Flexible 4x10 options for more days off
• Comfortable patient ratios (max 4:1)
• Collaborative environment with nephrologists, techs, dietitians, social workers, and nurses
If you're looking for a patient-centered setting with consistent scheduling and a team that puts people first, outpatient dialysis is a great place to grow your career.
What you'll do
The Registered Professional Nurse III, Acute Care is accountable for the delivery of safe patient care utilizing the nursing process. The RN assesses, plans, delivers, coordinates, integrates, and evaluates nursing care related to patient's needs. The RN contributes to the support of patients through interdisciplinary teamwork. The RN III is accountable to assure that care provided is consistent with applicable standards, regulations, statutes and state, federal law. Serves as a resource for other staff and clinicians as required.
  • Provides nursing care and services to patients throughout the life span and in various settings consistent with educational preparation.
  • Collects, analyzes and records relevant patient health data accurately, with no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback.
  • Analyzes assessment data to identify patient problems, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation.
  • Identifies expected outcomes individualized to the patient, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation.
  • Develops a plan of care that describes interventions to attain expected outcomes, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation.
  • Implements and records interventions appropriate to diagnosis or patient problem, with no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation.
  • Evaluates the patient's progress toward attainment of identified goals, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation.
  • Adheres to approved, research-based practice standards, with no more than 2-3 exceptions, as measured by direct supervisory observation and random supervisory chart review.
  • Directs and supervises patient care provided by LPNs and support personnel 100% of the time according to department guidelines, as measured by co-worker feedback and managerial observation.
  • Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in managing patient care, as measured by direct supervisory observation and co-worker feedback.
  • Acts effectively as charge nurse, group leader or preceptor when assigned, as determined by co-worker or preceptee feedback and direct managerial observation.
  • Writes a progress note that demonstrates an understanding of the patient's status and progress toward achievement of goals (80-90%).
  • Effectively precepts new staff members or students as determined by preceptee/student feedback and direct managerial observation.
  • Ability to function in charge nurse or leadership capacity as determined by practice arena.
  • Advocates for patients to ensure that care preserves and protects the patient's autonomy, dignity and rights.
  • Delivers care in a non-judgmental and non-discriminatory manner that is sensitive to patient diversity, 100% of the time, as measured by no significant, substantiated patient or peer complaints received by the manager/supervisor.
  • Assures that patients have informed consent signed for indicated procedures, 100% of the time, as measured by random supervisory chart review.
  • Acts on behalf of patients in an ethical manner 100% of the time, as measured by co-worker and patient feedback and managerial observation.
  • Adheres to ANA Code of Ethics for Professional Nurses.
  • Acquires and maintains current knowledge and skills in his or her area of practice.
  • Provides proof of current licensure validation to supervisor. (To achieve excellence, one must do this in a proactive, timely manner prior to due date).
  • Completes required unit credentialing according to departmental policy by providing documented evidence of completion to supervisor.
  • Provides to supervisor evidence of completion of all required training and competency validation. (To achieve excellence, one must take personal responsibility for this task and complete by the due date).
  • Participates in level appropriate number of hours of educational activity, according to pathway, related to job function annually and provides documented evidence of attendance or activity to supervisor.
  • Demonstrates clinical problem-solving ability through written exemplar, patient/family feedback, co-worker report or direct managerial observation.
  • Participates in quality improvement processes for the department and institution as assigned and as measured by supervisory observation.
  • Provides One required annual in-service for coworkers and provides documented evidence of activity to manager.
  • Demonstrates operational problem-solving ability through written exemplar, coworker report or direct managerial observation.
  • Leads performance improvement initiative demonstrating good organizational skills and follow-through as determined by direct managerial observation.
  • Participates in nursing research.
  • Commits to an attitude of inquiry, research-based practice, and the advancement of nursing science as observed by managerial observation.
  • Helps to identify clinical problems requiring investigation as measured by co-worker feedback and managerial observation.
  • Assists in the collection of data within a structured format as measured by co-worker feedback and managerial observation.
  • Partners with senior nurses to use research findings in clinical practice as measured by co-worker feedback and managerial observation.
  • Identifies clinical problems requiring investigation as measured by co-worker feedback and managerial observation.
  • Performs other duties as requested and observed by supervisor or manager.

What we need from you
Education:
  • 2 year / Associate degree in Nursing, required or...
  • Vocational / Technical Diploma Professional Nursing Program, required or...
  • 4 year / Bachelor's degree in Nursing, preferred

All RN's hired and do not currently hold a BSN will be expected to demonstrate enrollment in a bachelor's prepared nursing program within 4 years of hire. BSN must be completed within 10 years. RN's licensed on or before 12/19/17 are/remain exempt from this requirement.
Experience:
  • Minimum 3 years Registered Nurse Experience, 1 year must have been in a relevant practice area, required
  • Must be able to perform as a preceptor, required
  • Previous experience as a charge nurse/leadership role, preferred

License/ Certification:
  • Current NYS license as a Registered Nurse, required
  • BLS certification will be required within 6 months
  • Other certifications may be needed based on department requirements

Skills:
  • Training
  • Leadership
  • Clinical Skills
  • Multi-Tasking
  • Advocacy
  • Adaptability

Physical Requirements:
  • Medium Work - Exerting up to 50 lbs. for force occasionally, and/or up to 20 lbs. of force frequently, and/or up to 10 lbs. of force constantly to move objects
  • Occasional balancing, climbing, crouching, kneeling, lifting, pushing, pulling, reaching
  • Frequent fit testing
  • Constant typing, grasping, hearing, repetitive motion, seeing/ monitor/ computer use, standing, stooping, talking, visual acuity, walking

Hazards:
  • Occasional radiation/radiant energy
  • Frequent bodily fluids/bloodborne exposure

Working Conditions:
  • Occasional noise, vibration, wet and/or humid
  • Frequent odors

Travel:
  • Occasional Travel - The job may require travel from time- to-time, but not on a regular basis

Total Rewards
Bassett Healthcare Network's commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Many of the benefits we offer are paid fully or in large part by Bassett. Our generous benefits offerings include:
  • Paid time off, including company holidays, vacation, and sick time
  • Medical, dental and vision insurance
  • Life insurance and disability protection
  • Retirement benefits including an employer match
  • And more!

Specific benefit offerings may vary by location and/or position.
Pay Transparency
Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards. The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement.
Pay Range Minimum:
USD $43.48/Hr.
Pay Range Maximum:
USD $64.23/Hr.
We love the difference people bring
We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.

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