5. Chart Review RN — $75K – $95K
Chart Review RNs perform retrospective medical record reviews for HEDIS quality reporting, risk adjustment coding, and payer audits. It is a seasonal and per-diem-heavy field — the January to May HEDIS season drives most hiring — but the fully remote structure and clear task-based work draw a lot of experienced nurses.
Most chart review roles require two years of clinical experience and comfort with EHR systems, HEDIS specifications, and ICD-10 coding conventions. Employers include large payers, quality reporting vendors like Cotiviti and Inovalon, and hospital risk adjustment teams.
Vivian Health and Nurse.com data indicate chart review RN pay of $75K to $95K when structured as an annualized salary, and $35 to $50 per hour on per-diem contracts. Volume-based bonuses during peak HEDIS season occasionally push effective earnings above the standard range considerably.
