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Work From Home Rn Legal Nurse Chart Review Jobs (NOW HIRING)

She Recruits LLC

Gastroenterology - Chart Review

Join us as an Medical Director to conduct chart and peer reviews from your home office. Where you ... Predictable work schedules * 100% Work at Home with part-time & full-time opportunities available

TeamHealth

RN Telephone Triage (Work from Home)

... RNs! Are you looking for an exciting way to utilize your nursing skills and expertise to deliver ... Why Nurses Love This Role : * 100% remote- work from home * No bedside lifting or hospital burn out

TeamHealth

RN Telephone Triage (Work from Home)

... RNs! Are you looking for an exciting way to utilize your nursing skills and expertise to deliver ... Why Nurses Love This Role : * 100% remote- work from home * No bedside lifting or hospital burn out

BrightStar Care API

Registered Nurse Case Manager

Non-skilled work in member's homes to prevent hospital readmission * Teaching and helping members ... Training and document done from home Registered Nurse (RN) Case Manager Job Requirements include ...

Tribeca Pediatrics

Registered Nurse (WFH/Hybrid)

$40/hr

Review and clearance of medical records for new patients * Complete school, camp, and medication ... NYS RN license required. BLS and PALS certifications are preferred * NJ License required; should be ...

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Work From Home Rn Legal Nurse Chart Review information

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$50K

$87.7K

$126K

How much do work from home rn legal nurse chart review jobs pay per year?

As of Aug 7, 2026, the average yearly pay for work from home rn legal nurse chart review in the United States is $87,681.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $101,500.00 per year, depending on experience, location, and employer.

What is a work from home RN legal nurse chart review?

A Work From Home RN Legal Nurse Chart Review is a registered nurse who works remotely to analyze and review medical records for legal cases. These professionals use their clinical expertise to interpret medical documentation, identify standards of care, and provide summaries or opinions for attorneys or insurance companies. Their work helps clarify complex medical information in legal matters such as malpractice suits, personal injury claims, or insurance disputes. This role requires strong attention to detail, excellent analytical skills, and a solid understanding of medical and legal terminology.

What are some common challenges faced by work from home RN legal nurse chart reviewers, and how can they be managed?

Work From Home RN Legal Nurse Chart Reviewers often face challenges such as managing time effectively without direct supervision, maintaining patient confidentiality in a home environment, and interpreting complex medical records for legal cases. To manage these challenges, it's important to establish a dedicated, secure workspace, adhere strictly to HIPAA guidelines, and use reliable digital tools for organizing and reviewing charts. Clear communication with legal teams and ongoing professional development can also help reviewers stay accurate and efficient in their work.

What is the difference between Work From Home Rn Legal Nurse Chart Review vs Work From Home Rn Medical Records Reviewer?

AspectWork From Home Rn Legal Nurse Chart ReviewWork From Home Rn Medical Records Reviewer
CredentialsRegistered Nurse (RN), Legal Nurse Consultant certification often preferredRegistered Nurse (RN), sometimes with medical records certification
Work EnvironmentRemote, independent review of legal cases involving medical recordsRemote review of medical records for insurance, compliance, or quality assurance
Industry UsageLegal, healthcare, insuranceHealthcare, insurance, compliance

Both roles involve reviewing medical records remotely as an RN, but Legal Nurse Chart Review focuses on supporting legal cases, while Medical Records Review often supports insurance and compliance processes. They share similar credentials and work environments, making them closely related but distinct in their primary purpose.

What are the key skills and qualifications needed to thrive as a work from home RN legal nurse chart review?

To excel as a Work From Home RN Legal Nurse Chart Review, you need a current RN license, strong clinical knowledge, and experience with medical chart review and documentation. Familiarity with legal case management software, EHRs, and sometimes certification as a Legal Nurse Consultant (LNCC) are typical requirements. Exceptional attention to detail, critical thinking, and clear written communication help you interpret records and collaborate with legal teams. These skills ensure accurate, thorough analysis and effective support in legal cases involving medical information.
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Work From Home Rn Legal Nurse Chart Review jobs near you
Infographic showing various Work From Home Rn Legal Nurse Chart Review job openings in the United States as of August 2026, with employment types broken down into 79% Full Time, 17% Part Time, and 4% Contract. Highlights an 4% In-person, and 96% Remote job distribution, with an average salary of $87,681 per year, or $42.2 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 15 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

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