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Urgently Hiring Rn Medical Record Review Jobs (NOW HIRING)

eHospitalHire

Travel Nurse RN - Med Surg

Cincinnati, OH · On-site

$2.1K/wk

  • Medical

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Travel RN - Medical Surgical Registered Nurse - Health Advocates Network is urgently hiring Med Surg RNs with at least 2 years of recent experience! * Travel packages up to $2144 weekly * Shift: 12 ...

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Urgently Hiring Rn Medical Record Review information

What are some common challenges faced by registered nurses working in medical record review roles?

Registered Nurses in medical record review often encounter challenges such as interpreting incomplete or inconsistent documentation, staying current with evolving healthcare regulations, and balancing accuracy with productivity expectations. The role requires meticulous attention to detail and strong analytical skills to ensure compliance and quality in patient records. Collaboration with clinical teams and other reviewers is common, and adapting to different electronic health record (EHR) systems can also be a frequent hurdle. Despite these challenges, the position offers valuable experience in healthcare quality assurance and opportunities for career advancement into leadership or auditing roles.

What are the key skills and qualifications needed to thrive as an RN medical record review, and why are they important?

To thrive as an RN Medical Record Review, you need a current RN license, strong clinical knowledge, and expertise in medical record documentation and review. Familiarity with electronic health records (EHR) systems, coding guidelines (such as ICD-10 and CPT), and utilization review processes is crucial. Attention to detail, analytical thinking, and effective written communication are standout soft skills for this position. These abilities are important to ensure accurate record audits, compliance with regulations, and high-quality patient care documentation.

What is an RN medical record review?

An RN Medical Record Review is a registered nurse who specializes in reviewing patient medical records for accuracy, compliance, and quality of care. This job typically involves evaluating documentation to ensure it meets healthcare regulations and standards, identifying discrepancies, and providing feedback to healthcare providers. RNs in this role may work for hospitals, insurance companies, or legal teams, and often help with audits, utilization review, or risk management. Attention to detail, clinical knowledge, and strong communication skills are essential for success in this position.

What cities are hiring for Urgently Hiring Rn Medical Record Review jobs?

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What are the most commonly searched types of Rn Medical Record Review jobs?

The most popular types of Rn Medical Record Review jobs are:

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States with the most job openings for Urgently Hiring Rn Medical Record Review jobs include:

Urgently Hiring Rn Medical Record Review jobs near you

Medical Record Reviewer

Community Home Health Care & CIHC

Fort Wayne, IN • On-site

Full-time

Re-posted 9 days ago

Job description

Medical Record Reviewer
Community Home Health Care is hiring an in-office QA Nurse to oversee the accuracy, completeness, and regulatory compliance of all clinical documentation. This role is essential to ensuring our client records meet professional standards and support safe, high-quality care.
What You'll Do
Clinical Record Audits & Documentation Review
  • Perform monthly audits of skilled nursing notes for all visiting nurses.
  • Provide direct, timely feedback to nurses on missing or incorrect documentation.
  • Re-audit records when deficiencies continue and notify the Clinical Manager as needed.
  • Audit OASIS assessments (SOC, ROC, Recertification, and Follow-Up) prior to transmission.
  • Audit at least 10% of each RN Case Manager's charts monthly, focusing on recerts, SOC, and ROC visits.
  • Audit all documentation for newly hired RN Case Managers during their probation period.
  • Complete discharge record reviews and notify RN Case Managers when discharge charts need QA review.

Deficiency Identification & Follow-Up
  • Review charts for accuracy, completion, legal compliance, and proper care documentation.
  • Document deficiencies on the Case Conference Review form.
  • Notify nurses and department staff of deficiencies and required corrections.
  • Conduct discharge analysis when clients leave the agency.

Reporting & Collaboration
  • Track patterns and trends in documentation issues.
  • Communicate concerns and recurring problems to the Clinical Manager.
  • Support corrective action steps when needed.
  • Compile a quarterly audit report summarizing the previous three months.
  • Assist with ongoing chart review processes as assigned.

What We're Looking For
  • Active RN license in the State of Indiana.
  • Strong understanding of home health documentation standards, Medicare/Medicaid requirements, and OASIS.
  • Excellent attention to detail and strong organizational skills.
  • Ability to communicate clearly, professionally, and constructively with nursing staff.
  • Comfortable working fully in-office in a fast-paced environment.
  • Previous QA or chart auditing experience preferred, but strong clinical documentation skills will also be considered.

Schedule & Work Environment
  • Monday-Friday schedule, in-office at the Fort Wayne location.
  • Works closely with the Clinical Manager, RN Case Managers, and field staff.
  • Computer-based role with consistent chart auditing and record review responsibilities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state, or local laws. We are committed to creating a diverse and inclusive workplace for all employees.

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