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Rn Medical Reviewer Jobs (NOW HIRING)

Health Care Service Corporation

Medical Reviewer II

$61K - $136K/yr

Job Summary This position is responsible for performing accurate and timely medical review of ... Registered Nurse with current, active, unrestricted Registered Nurse (RN) license in the state of ...

New

Health Care Service Corporation

Medical Reviewer II

$61K - $136K/yr

Job Summary This position is responsible for performing accurate and timely medical review of ... Registered Nurse with current, active, unrestricted Registered Nurse (RN) license in the state of ...

New

Empower AI

Medical Reviewer III (Medicare/DRG)

Medical Review Specialist III (Medicare DRG) Empower AI gives federal agency leaders the tools to ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

Empower AI Inc.

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

Empower AI Inc.

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

Empower AI Inc.

As a casual Medical Review Specialist III (Medical Reviewer III) you will primarily perform ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

Empower AI Inc.

Medical Reviewer III (Medicare/DRG)

As a casual Medical Review Specialist III (Medicare DRG) for Empower AI, Inc., you will perform ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

Empower AI Inc.

As a casual Medical Review Specialist III (Medical Reviewer III) for Empower AI, Inc., you will ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

Empower AI Inc.

As a casual Medical Review Specialist III (Medical Reviewer III) for Empower AI, Inc., you will ... Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR ...

Empower AI Inc.

Current licensure as a Registered Nurse in one or more of the 50 states or D.C. * Ability to keep sensitive and confidential material private. * Must have no adverse actions pending or taken against ...

Empower AI Inc.

Current licensure as a Registered Nurse in one or more of the 50 states or D.C. * Ability to keep sensitive and confidential material private. * Must have no adverse actions pending or taken against ...

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Rn Medical Reviewer information

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$28

$37

$42

How much do rn medical reviewer jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for rn medical 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.

How to become an RN chart reviewer?

To become an RN chart reviewer, registered nurses typically need a valid nursing license and experience in clinical settings. Additional training in medical record documentation and familiarity with healthcare compliance standards are beneficial, and some employers may require certification in health information management or coding.

How does an RN Medical Reviewer typically collaborate with other healthcare professionals during the review process?

As an RN Medical Reviewer, collaboration with physicians, pharmacists, and administrative staff is essential to ensure comprehensive and accurate case evaluations. You may participate in multidisciplinary meetings, clarify clinical details with treating providers, and consult with subject matter experts to support your medical necessity determinations. Strong communication skills are vital, as you’ll often be responsible for relaying review outcomes and discussing complex cases with both clinical and non-clinical team members. This collaborative approach helps maintain high standards of patient care and regulatory compliance.

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

To thrive as an RN Medical Reviewer, you need a nursing degree with an active RN license, strong clinical judgment, and experience in chart review or utilization management. Familiarity with medical coding systems, case management software, and healthcare regulations, along with certifications such as CCM or URAC, is often required. Attention to detail, analytical thinking, and effective written communication are crucial soft skills for evaluating medical records and conveying findings. These skills ensure accurate, compliant, and timely review processes that support quality patient care and organizational standards.

What does an RN reviewer do?

An RN reviewer evaluates medical records, claims, and documentation to ensure accuracy, completeness, and compliance with healthcare regulations. They often work in insurance, healthcare, or legal settings, using their nursing expertise to verify medical information and support decision-making processes.

How to become a medical review nurse?

To become a medical review nurse, one must first earn a nursing license by completing an accredited nursing program and passing the NCLEX-RN exam. Gaining experience in clinical settings and obtaining knowledge of medical coding, documentation, and insurance policies are important; some roles also require certification such as the Certified Professional Medical Auditor (CPMA).

How to make $300,000 as a nurse?

To earn $300,000 as an RN Medical Reviewer, gaining specialized certifications, such as in case management or legal nursing, and working in high-paying settings like insurance companies or legal firms can help increase income. Additionally, working overtime, taking on consulting roles, or advancing to managerial positions can contribute to higher earnings.

What are RN Medical Reviewers?

RN Medical Reviewers are registered nurses who evaluate medical records, claims, and documentation to ensure accuracy, compliance, and quality of care. They use their clinical knowledge to review patient cases, verify the necessity of medical treatments, and ensure healthcare services meet established guidelines. RN Medical Reviewers often work for insurance companies, government agencies, or healthcare organizations and play a critical role in preventing fraud and ensuring proper healthcare delivery.

What is the difference between Rn Medical Reviewer vs Rn Case Manager?

AspectRn Medical ReviewerRn Case Manager
CredentialsRegistered Nurse (RN), often with clinical review certificationsRegistered Nurse (RN), with case management or care coordination certifications
Work EnvironmentInsurance companies, healthcare review organizations, telehealthHospitals, clinics, insurance companies, community health
Employer & IndustryInsurance, healthcare review, telehealthHealthcare providers, insurance, community health
Primary FocusReview medical records, determine coverage, ensure complianceCoordinate patient care, manage treatment plans, facilitate communication

While both roles require RN credentials and involve healthcare settings, Rn Medical Reviewers focus on evaluating medical records and insurance coverage, whereas Rn Case Managers coordinate patient care and treatment plans. Understanding these differences helps job seekers identify the right career path in healthcare and insurance industries.

More about Rn Medical Reviewer jobs
What cities are hiring for Rn Medical Reviewer jobs? Cities with the most Rn Medical Reviewer job openings:
What states have the most Rn Medical Reviewer jobs? States with the most job openings for Rn Medical Reviewer jobs include:
What job categories do people searching Rn Medical Reviewer jobs look for? The top searched job categories for Rn Medical Reviewer jobs are:
Rn Medical Reviewer jobs near you
Infographic showing various Rn Medical Reviewer job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $77,034 per year, or $37 per hour.
Medicaid Medical Review RN (Medical Reviewer III)

Medicaid Medical Review RN (Medical Reviewer III)

CoventBridge Group

Remote

$65K - $70K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

New

CoventBridge Group rating

6.7

Company rating: 6.7 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

273rd of 451 rated business services

Job description

Overview
Medicaid Medical Review RN (Medical Reviewer III) - REMOTE
The Medicaid Medical Review RN (Medical Reviewer III) will primarily be responsible for conducting clinical reviews of medical records during the course of fraud investigations or other program integrity initiatives such as requests for information or in support of proactive data analysis efforts. In addition, this position applies Medicare and Medicaid guidelines in making clinical determinations as to the appropriateness of payment coverage.
In assuming this position, you will be a critical contributor to meeting CoventBridge Group's objective: To provide services to our clients that exceed their expectations and contribute to improved healthcare delivery by identifying and eliminating fraud, waste and abuse.
This position will report directly to the Medical Review Supervisor and will work in our Grove City, OH office. If not local, remotely from a home office.
At this time, CoventBridge is not considering candidates who require visa sponsorship, currently or in the future, including but not limited to H-1B, H-2B, E-3, TN, O-1, F-1 (OPT/CPT, or J-1 Visa Statuses.)
Responsibilities/ Requirements
Responsibilities:
  • Reviews information contained in Standard Claims Processing System files (e.g., claims history, provider files) to determine provider billing patterns and to detect potentially fraudulent or abusive billing practices or vulnerabilities in Medicare or Medicaid payment policies
  • Utilizes extensive knowledge of medical terminology, ICD-9-CM, ICD-10-CM HCPCS Level II and CPT coding along with analysis and processing of Medicare claims. Utilizes Medicare/Medicaid and Contractor guidelines for coverage determinations
  • Coordinates and compiles the written Investigative Summary Report to the PI Investigator upon completion of the records review
  • Incorporates leadership and communication skills to work with physicians and other health professionals as well as external regulatory agencies and law enforcement personnel
  • Provides training to UPIC staff on medical terminology, reading medical records, and policy interpretation
  • Provides expert witness testimony as required
  • Completes assignments in a manner that meets or exceeds the quality assurance goal of 98% accuracy
  • Maintains chain of custody on all documents and follows all confidentiality and security guidelines
  • Performs other duties as assigned by the Medical Review Supervisor that contribute to UPIC goals and objectives and comply with the Program Integrity Manual and Statement of Work guidelines and CMS directives and regulations

Requirements:
  • 2 years minimum experience with a state Medicaid agency or Managed Care Organization focused in Medicaid
  • 2 years minimum of working knowledge of ICD 10-CM/CPT coding experience
  • 4 years minimum experience auditing claims history or provider files to determine if the claim was payable and if any signed of fraud, waste or abuse are noted
  • Knowledge of, and the ability to correctly identify, Medicare and Medicaid coverage guidelines
  • Advance knowledge of medical terminology and experience in the analysis and processing of Medicare claims, utilization review/ quality assurance procedures, ICD 10-CM and CPT coding, Medicare coverage guidelines and payment methodologies (i.e., Correct Coding Initiative, DRG's, Prospective Payment Systems and Ambulatory Surgical center), NCPCP and other types of prescription drug claims
  • Ability to read Medicaid claims, both paper and electronic, and a basic knowledge of Medicaid is required
  • Should possess excellent verbal and written communication skills with an ability to write professional summary reports
  • Knowledge of and ability to use Microsoft Word, Excel, and Internet applications
  • Able to efficiently organize and manage workload and assignments
  • Must have and maintain a valid driver' license for the state of residence as on-site audits are part of the role as a nurse reviewer

Educational/Experience Qualifications:
  • Graduate from an accredited school of nursing and have an active license as a Registered Nurse (RN) required
  • Preference given to BSN or higher prepared nurses with recent medical review claims experience in Medicare or Medicaid reviews

Benefits
  • Medical, Dental, Vision plans
  • Life, LTD and STD paid by the employer
  • 401(k) with company match up to 4%
  • Paid Time Off and company paid holidays
  • Tuition assistance after 1 year of service

The salary range for this role is $65,000 to $70,000 annually. This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, geographic location, performance, and business or organizational needs.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
About Us:
CoventBridge Group is the global leader in full-service investigations providing Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients' needs and delivers worldwide coverage via its 1000 employees and affiliates worldwide.
CoventBridge is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintains a drug-free workplace.
CoventBridge is committed to the full inclusion of all qualified individuals. As part of this commitment, CoventBridge will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; 888-932-7364; humanresources@coventbridge.com.

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