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Work From Home Remote Rn Chart Review Jobs (NOW HIRING)

Evening, night, and weekend differentials may apply * 100% Remote - Work From Home * Most schedules ... Accurately chart calls in our EHR and follow compliance protocols * Team Collaboration: Work ...

S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a private ... Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals.

... IMO, offering a dynamic work environment where you can operate from your own location. Our ... Remote, with meetings conducted via video conferencing or phone No cold calling: Warm leads ...

... IMO, offering a dynamic work environment where you can operate from your own location. Our ... Remote, with meetings conducted via video conferencing or phone No cold calling: Warm leads ...

... IMO, offering a dynamic work environment where you can operate from your own location. Our ... Remote, with meetings conducted via video conferencing or phone No cold calling: Warm leads ...

S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a private ... Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals.

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Work From Home Remote Rn Chart Review information

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How much do work from home remote rn chart review jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for work from home remote rn chart review in the United States is $44.91, according to ZipRecruiter salary data. Most workers in this role earn between $34.38 and $53.37 per hour, depending on experience, location, and employer.

What is the difference between Work From Home Remote Rn Chart Review vs Work From Home Remote Medical Coder?

AspectWork From Home Remote Rn Chart ReviewWork From Home Remote Medical Coder
CredentialsRegistered Nurse (RN) licenseCertification in medical coding (CPC, CCS)
Work EnvironmentReviewing patient charts, clinical dataAnalyzing medical records for coding accuracy
Industry UsageHealthcare, hospitals, clinicsHealthcare, insurance companies, billing services
Common Search IntentRemote RN chart review jobsRemote medical coding jobs

While both roles are remote healthcare positions, Work From Home Remote Rn Chart Review involves reviewing patient charts as a licensed RN, focusing on clinical data. In contrast, Work From Home Remote Medical Coder involves analyzing medical records for accurate coding, requiring coding certifications. Both roles are essential in healthcare documentation and billing, but they differ in credentials and daily tasks.

More about Work From Home Remote Rn Chart Review jobs
What cities are hiring for Work From Home Remote Rn Chart Review jobs? Cities with the most Work From Home Remote Rn Chart Review job openings:
What states have the most Work From Home Remote Rn Chart Review jobs? States with the most job openings for Work From Home Remote Rn Chart Review jobs include:
Infographic showing various Work From Home Remote 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 $93,419 per year, or $44.9 per hour.

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

ProgenyHealth LLC

Remote

$90K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 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