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Work From Home Remote Rn Chart Review Jobs in Pennsylvania

HEDIS Chart Retrieval Nurse

Pittsburgh, PA ยท Remote

$29.25 - $38.75/hr

You will coordinate record retrieval, review incoming records for completeness, upload ... Ability to work independently in a remote, deadline-driven environment. Contract Details * Monday ...

Posted today

Work from Home

Pittsburgh, PA ยท Remote

$18/hr

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contract Pharmacy Support Call Center Representative to join our team. In this position, you will ...

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

This is a flexible, remote opportunity with full training provided and no prior experience required ... Fully remote -- work from home on a flexible schedule, 5 to 20 hours per week * Dedicated support ...

Posted today

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Work From Home Remote Rn Chart Review information

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.

What job categories do people searching Work From Home Remote Rn Chart Review jobs in Pennsylvania look for?

The top searched job categories for Work From Home Remote Rn Chart Review jobs in Pennsylvania are:

What cities in Pennsylvania are hiring for Work From Home Remote Rn Chart Review jobs?

Cities in Pennsylvania with the most Work From Home Remote Rn Chart Review job openings:

Infographic showing various Work From Home Remote Rn Chart Review job openings in Pennsylvania as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

HEDIS Chart Retrieval Nurse

Pittsburgh, PA โ€ข Remote

$29.25 - $38.75/hr

Full-time

Posted 23 hours ago

Posted today


Job description

HEDIS Chart Retrieval Nurse

Position Overview

The HEDIS Chart Retrieval Nurse supports the health plan's annual HEDIS quality data collection efforts by obtaining medical records needed to validate HEDIS measures and close documentation gaps.

In this role, you will conduct outbound outreach to physician offices, hospitals, clinics, and medical records departments to request required documentation. You will coordinate record retrieval, review incoming records for completeness, upload documentation into the health plan's secure system, and track retrieval progress throughout the project.

This is a fast-paced, deadline-driven role requiring strong communication, organization, attention to detail, and an understanding of clinical documentation and HEDIS quality measures.

Key Responsibilities

  • Conduct outbound calls to physician offices, hospitals, clinics, and medical records departments to request records required for HEDIS measures.
  • Clearly communicate the purpose of each request, required documentation, applicable date ranges, and release-of-information requirements.
  • Coordinate with provider office staff and medical records departments to determine the appropriate method for securely transmitting records.
  • Follow up on outstanding requests to ensure medical records are received within established project timelines.
  • Review received documentation for completeness and confirm that requested records have been provided.
  • Upload medical records into the health plan's secure portal or designated chart retrieval platform.
  • Maintain accurate documentation of outreach attempts, provider contacts, pending requests, completed retrievals, and follow-up activity.
  • Escalate delays, access issues, incomplete records, and other retrieval barriers to the project lead or supervisor.
  • Manage an assigned call queue and daily outreach workload to meet productivity and retrieval targets.
  • Maintain compliance with HIPAA requirements and protect all confidential and protected health information.
  • Perform additional project-related duties as assigned.

Qualifications

  • Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license.
  • (compacted license preferred or PA)
  • Minimum of 1 year of clinical, managed care, quality, medical records, or related healthcare experience.
  • Prior HEDIS, medical record retrieval, chart review, or chart abstraction experience preferred.
  • Working knowledge of medical terminology, clinical documentation, and EMR/EHR systems.
  • Familiarity with HEDIS quality measures and healthcare quality reporting preferred.
  • Strong telephone communication and provider outreach skills.
  • Strong attention to detail and ability to accurately document and track multiple record requests.
  • Ability to work independently in a remote, deadline-driven environment.

Contract Details

  • Monday through Friday schedule
  • Eastern Time business hours

Application Requirements

  • Must be legally authorized to work in the United States.
  • Candidates must be willing to complete a background check and drug screening if required.
  • Candidates will be asked to provide their home address and complete employment eligibility questions during the application process.

Interested in Learning More?

Apply directly or reach out to learn more about the opportunity.