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Work From Home Rn Medical Record Review Jobs (NOW HIRING)

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Communicates results of reviews verbally, in the medical record, and through official written ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Communicates results of reviews verbally, in the medical record, and through official written ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

Communicates results of reviews verbally, in the medical record, and through official written ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

Communicates results of reviews verbally, in the medical record, and through official written ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Dane Street

PRN Utilization Review Nurse Reviewer

They review medical records, treatment plans, and patient information to determine the necessity ... WORK FROM HOME TECHNICAL REQUIREMENTS: Supply and support their own internet services. Maintaining ...

Dane Street, LLC

Peer/Record Review Quality Analyst

Reviews reports accompanying medical records to ensure that the report is complete and that all ... WORK FROM HOME TECHNICAL REQUIREMENTS: Supply and support their own internet services. Maintaining ...

Sutter Health

Clinical Triage Nurse, Work From Home

$38.87 - $54.42/hr

... the electronic medical record (EMR) system, as well as limited patient care in an outpatient ... Graduate of an accredited school of nursing CERTIFICATION & LICENSURE * RN-Registered Nurse of ...

Sutter Health

Clinical Triage Nurse, Work From Home

$38.87 - $54.42/hr

... the electronic medical record (EMR) system, as well as limited patient care in an outpatient ... Graduate of an accredited school of nursing CERTIFICATION & LICENSURE * RN-Registered Nurse of ...

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How much do work from home rn medical record review jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for work from home rn medical record 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 a Work From Home RN Medical Record Review?

A Work From Home RN Medical Record Review is a registered nurse (RN) who evaluates and analyzes patients’ medical records remotely, often for insurance companies, healthcare organizations, or legal purposes. Their primary responsibilities include reviewing documentation for accuracy, completeness, and compliance with regulations or clinical guidelines. This role requires a strong understanding of medical terminology, clinical practices, and confidentiality standards. It allows nurses to leverage their clinical expertise in a non-bedside, remote setting, providing flexibility and work-life balance.

What are the key skills and qualifications needed to thrive as a Work From Home RN Medical Record Review?

To thrive as a Work From Home RN Medical Record Review, you need a current RN license, strong clinical knowledge, and experience with medical documentation and chart review. Familiarity with electronic health records (EHRs), coding systems like ICD-10, and utilization management software is typically expected. Attention to detail, critical thinking, and effective written communication help ensure accuracy and clarity in remote documentation. These skills are vital for maintaining compliance, supporting quality assurance, and ensuring the integrity of patient records in a remote work environment.

What are some common challenges faced by Work From Home RN Medical Record Reviewers, and how can they be managed?

Work From Home RN Medical Record Reviewers often face challenges such as managing distractions in a home environment, maintaining data security, and meeting productivity targets without in-person supervision. To overcome these, it's important to set up a dedicated workspace, follow strict privacy protocols, and use time management techniques to stay focused. Regular communication with your team and utilizing secure digital platforms can also help ensure accuracy and compliance in your reviews.

What is the difference between Work From Home Rn Medical Record Review vs Work From Home Medical Coding Specialist?

AspectWork From Home Rn Medical Record ReviewWork From Home Medical Coding Specialist
CredentialsRegistered Nurse (RN) licenseMedical coding certification (CPC, CCS, etc.)
Work EnvironmentHome-based, reviewing patient recordsHome-based, coding medical procedures and diagnoses
Industry UsageHealthcare, insurance, legal casesHealthcare, insurance billing
Common Search/ComparisonYesYes

Both roles are remote healthcare positions requiring specialized certifications. The RN Medical Record Review focuses on evaluating patient records for accuracy and compliance, while the Medical Coding Specialist assigns codes for billing and documentation. Understanding these differences helps job seekers find the right remote healthcare role that matches their credentials and career goals.

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Work From Home Rn Medical Record Review jobs near you
Infographic showing various Work From Home Rn Medical Record Review job openings in the United States as of August 2026, with employment types broken down into 73% Full Time, 7% Part Time, and 20% Contract. Highlights an 100% Remote job distribution, with an average salary of $93,419 per year, or $44.9 per hour.

Nurse Reviewer - Sarasota, FL

Healthcare Quality Strategies, Inc.

Sarasota, FL • Remote

$40/hr

Part-time

Medical, Dental, Vision, Life, Retirement

Re-posted 16 days ago

Job description

Nurse Reviewer
PT (20-30 hours week) – Remote Work Environment
Non-Exempt: $40.00 hour
Supports Medical Review Services. The Nurse Reviewer plays a critical role in supporting the Medical Review Services department by performing comprehensive medical necessity reviews and policy reviews for Medicaid claims. This involves meticulous examination of claims and medical records to ensure compliance with established guidelines and regulations. The RN will work closely with the Team Lead, Physician Peer Reviewer and contract team. Reviews must be completed timely.
Essential Duties and Responsibilities:
  • Conduct comprehensive medical record reviews to assess medical necessity and compliance with established standards of care and applicable policies
  • Manage end-to-end case screening processes, ensuring all activities are completed within established deadlines
  • Document evidence-based criteria applicable to specific contract requirements
  • Record and report screening results, including relevant referral questions, into a centralized database
  • Evaluate medical claims against industry standards, utilizing research of relevant ICD-10, CPT, and HCPCS codes to determine medical necessity
  • Maintain expert knowledge of evolving multi-state Medicaid policies and vendor expectations
  • Participate in ongoing training and consistently meet or exceed productivity and quality assurance standards
Knowledge, Experience, Skills and Education:
  • Medical terminology, ICD-10, CPT and HCPCS
  • Clinical criteria (InterQual and MCG)
  • Utilization/Medical record review and chart abstraction
  • Current standards of medical practice
  • Comply with HIPAA/HITECH laws and regulations
Experience in:
  • At least three- five years performing medical record review and/or abstraction (Utilization Review experience preferred)
  • Experience performing medical record review, audit for federal or state contracts
  • Knowledge and experience of Medicare and Medicaid policy
  • Proficiency with Microsoft Office (Word, Excel, and Outlook)
  • Proficiency with Adobe PDF files and features
  • Generating accurate, timely, and understandable correspondence
  • Current experience (within the last 3 years) in the application of clinical screening criteria (InterQual and MCG)
Skills Requirements include:
  • Professional interpersonal skills; ability to interact with providers, physicians and peers
  • Solid analytical, assessment and documentation skills
  • Effective written and verbal communication, both internally and externally
  • Strong attention to detail
  • Strong attention to deadlines
  • Organizational skills including effective time management, priority setting and process improvement
  • Ability to work independently and as a member of a team
  • Adapt to changing work situations and readily adjusts schedules, tasks and priorities when necessary to meet business fluctuations
Educational Background:
  • BSN with active RN licensure in good standing
Physical Demands:
Remote Work, Prolonged Sitting, Screen Exposure
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
Healthcare Quality Strategies, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This position qualifies for the following Company benefits: Medical/Dental/Vision, FSA and HSA, group life/AD amp;D, voluntary life/AD amp;D, 401k
For immediate consideration, please apply via the HQSI Careers Page at: www.hqsi.org gt; Careers gt; Current Employment Opportunities
EOE: Minorities/Females/Disabled/Veterans
Healthcare Quality Strategies, Inc. is Equal Opportunity, Affirmative Action Employer and an Alcohol/Drug Free Workplace
Healthcare Quality Strategies, Inc. is an E-Verify Employer

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