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Rn Chart Reviewer Jobs (NOW HIRING)

Swan Hospice

Hospice Qapi RN

Lakewood, NJ

$40 - $45/hr

RN Chart Auditor The duties of an RN chart auditor are to review medical records for accuracy, quality assurance, or billing and insurance purposes. The responsibilities include assessing medical ...

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$42

How much do rn chart reviewer jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for rn chart reviewer in the United States is $37.04, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $41.35 per hour, depending on experience, location, and employer.

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

To thrive as an RN Chart Reviewer, you need a strong background in nursing practice, medical terminology, and clinical documentation review, typically requiring an RN license and nursing experience. Familiarity with electronic health record (EHR) systems, audit tools, and coding software is essential for accurate chart analysis. Attention to detail, analytical thinking, and effective written communication are standout soft skills in this role. These skills and qualifications are critical for ensuring accurate documentation, regulatory compliance, and the integrity of patient records.

What is the difference between Rn Chart Reviewer vs Medical Records Reviewer?

AspectRn Chart ReviewerMedical Records Reviewer
Required CredentialsRN license, healthcare experienceMedical records or health information certification
Work EnvironmentHospitals, clinics, healthcare facilitiesInsurance companies, healthcare organizations, legal settings
Industry UsageHealthcare, patient care documentationMedical record accuracy, compliance, legal review

Both roles involve reviewing medical documentation, but Rn Chart Reviewers focus on patient charts within healthcare settings, requiring nursing credentials. Medical Records Reviewers often work in legal or insurance environments, emphasizing record accuracy and compliance. While overlapping in reviewing medical documents, their work environments and required qualifications differ significantly.

What are some typical challenges an RN Chart Reviewer might face when ensuring accurate and timely documentation?

RN Chart Reviewers often encounter challenges such as incomplete patient records, discrepancies in documentation, and tight deadlines for chart audits. They must pay close attention to detail while reviewing large volumes of charts, ensuring all documentation complies with regulatory standards and hospital policies. Effective communication with clinical staff is also essential to clarify any missing or ambiguous information. Staying updated on changing compliance requirements and electronic health record systems is crucial for success in this role.

What are RN Chart Reviewers?

RN Chart Reviewers are registered nurses who specialize in reviewing and analyzing patient medical records, also known as charts, for accuracy, completeness, and compliance with healthcare regulations. Their work often supports quality improvement, risk management, billing, and insurance processes within healthcare organizations. RN Chart Reviewers ensure that documentation meets legal and organizational standards, identify discrepancies or errors, and may provide feedback to improve clinical documentation practices. This role requires strong attention to detail, extensive knowledge of medical terminology, and expertise in healthcare regulations.
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Rn Chart Reviewer jobs near you
Infographic showing various Rn Chart Reviewer job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 81% Full Time, 14% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $77,034 per year, or $37 per hour.
Clinical RN Chart Reviewer, (Remote) CIC or CCS certified

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

ProgenyHealth LLC

Plymouth Meeting, PA • On-site

$90K - $110K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

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.