ZipRecruiter

Log In

2

Work From Home Remote Rn Chart Review Jobs in Tennessee

The Jernigan Agency

WORK FROM HOME

Clarksville, TN · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... Help each client to review their options and apply for that coverage. * See the application through ...

The Jernigan Agency

WORK FROM HOME

Antioch, TN · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... Help each client to review their options and apply for that coverage. * See the application through ...

The Jernigan Agency

WORK FROM HOME

Memphis, TN · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... Help each client to review their options and apply for that coverage. * See the application through ...

next page

Showing results 1-20

All JobsRn Chart Review JobsWork From Home Remote Rn Chart Review JobsWork From Home Remote Rn Chart Review Jobs in Tennessee

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 are popular job titles related to Work From Home Remote Rn Chart Review jobs in Tennessee? For Work From Home Remote Rn Chart Review jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Work From Home Remote Rn Chart Review jobs in Tennessee look for? The top searched job categories for Work From Home Remote Rn Chart Review jobs in Tennessee are:
What cities in Tennessee are hiring for Work From Home Remote Rn Chart Review jobs? Cities in Tennessee with the most Work From Home Remote Rn Chart Review job openings:
Work From Home Remote Rn Chart Review jobs near you
Remote RN - Medical Claims Reviewer

Remote RN - Medical Claims Reviewer

Broadway Ventures

Nashville, TN • Remote

Full-time

Re-posted 2 days ago

Job description

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider—we're your trusted partner in innovation.

Job Type: Full-time (40 hours/week)
Schedule: Monday–Friday, 8:00 AM – 5:00 PM

Max Salary: W-2 ($65,000/$31.25)

Location: Remote (U.S. – Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.

About the Role

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.

Key Responsibilities
  • Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
  • Assess payment determinations using clinical information and established guidelines.
  • Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
  • Provide clear, well-documented rationales for service approvals or denials.
  • Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
  • Support quality control activities to meet corporate and team objectives.
  • Provide guidance to LPN team members and support non-clinical staff through training and discussions.
  • Assist with special projects and additional responsibilities as assigned.
Minimum QualificationsLicensure:
  • Active, unrestricted RN license in the U.S. and in the state of hire
    OR
  • Active compact multistate RN license (as defined by the Nurse Licensure Compact).
Education:
  • Associate Degree in Nursing
    OR
  • Graduate of an accredited School of Nursing.
Experience:
  • Two years of clinical experience plus at least two years in one of the following:
    • Home Health
    • Utilization/Medical Review
    • Quality Assurance
Skills & Competencies:
  • Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings.
  • Ability to interpret and apply medical review criteria and clinical guidelines.
  • Proficiency in Microsoft Office and word processing software.
  • Strong analytical, organizational, and decision-making skills.
  • Ability to work independently while managing priorities effectively.
  • Excellent customer service, communication, and critical thinking skills.
  • Ability to handle confidential information with discretion.
Preferred Qualifications
  • Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred).
  • Proficiency in using multiple screens and software programs simultaneously.

If you are a detail-oriented RN with a passion for medical review, we encourage you to apply!

What to Expect Next:

After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting.

Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.

Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).