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From Home Remote Rn Auditor Jobs (NOW HIRING)

MPF Federal

Telehealth RN - Evergreen

$35/hr

MPF Federal is hiring Remote Telehealth Triage Nurses (RNs) to join our 24/7 Nurse Advice Line- supporting veterans and their families-all from the comfort of your home. This isn't just a job; it ...

CareXM

Triage Nurse - RN (Remote - Full Time)

$26/hr

Early Morning Triage Nurse - RN (Remote) Pay: $26/hour Position Type: Full-Time (30+ hrs/wk) ... Operating entirely from home, you will leverage your nursing background to conduct assessments.

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How much do from home remote rn auditor jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for from home remote rn auditor in the United States is $32.99, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $36.06 per hour, depending on experience, location, and employer.

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From Home Remote Rn Auditor jobs near you
Infographic showing various From Home Remote Rn Auditor job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 72% Full Time, 22% Part Time, and 4% Contract. Highlights an 80% Physical, 1% Hybrid, and 19% Remote job distribution, with an average salary of $68,617 per year, or $33 per hour.

Medical Review Nurse - Home Health Auditor

Remote

Machinify
Software Development • 11 - 50 employees
Learn more about Machinifyexternal

Full-time

Re-posted 2 days ago

Job description

The Medical Review Nurse II primarily performs medical claims audit reviews with a focus on the Home Health sector. As a MR Nurse Auditor, you will join a team of experienced medical auditors and coders performing retrospective and prepayment audits on claims for Government and Commercial Payers. You will work remotely in a fast-paced and dynamic environment and be part of a multi-location team.

Key Responsibilities:

  • Auditing claims for medically appropriate services provided for inpatient settings while applying appropriate medical review guidelines, policies and rules.
  • Document all findings referencing the appropriate policies and rules.
  • Generate letters articulating audit findings.
  • Support your findings during the appeals process if requested.
  • Working collaboratively with the audit team to identify and obtain approval for particular vulnerabilities and/or cases subject to potential abuse.
  • Keep abreast of medical practice, changes in technology, and regulatory issues that may affect our clients.
  • Work with the team to minimize the number of appeals; Suggest ideas that may improve audit workflows; Assist with QA functions and training team members.
  • Cross train in all clinical departments/areas.
  • Other duties as required to meet business needs.

Knowledge, Skills and Abilities Needed:

  • Experience with utilization management systems or clinical decision-making tools such as Medical Coverage Guidelines (MCG) or InterQual.
  • Experience with and deep knowledge of ICD-9, ICD-10, CPT-4 or HCPCS coding.
  • Knowledge of insurance programs program, particularly the coverage and payment rules.
  • Ability to maintain high quality work while meeting strict deadlines.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple tasks including desk audits and claims review.
  • Must be able to independently use standard office computer technology (e.g. email SharePoint, slack, outlook calendar etc.)
  • Must be able to manage multiple assignments effectively, create documentation outlining findings and/or documenting suggestions, organize and prioritize workload
  • Effectively work independently and as a team, in a remote setting.

 

Education Requirements:

  • An associate or bachelor's degree in nursing (active/unrestricted RN license) is required.
  • Medical Coding certification is preferred (see below for examples).
    • CCDS - Certified Clinical Documentation Specialist
    • CDIP - Clinical Documentation Improvement Practitioner
    • CCS - Certified Coding Specialist
    • CIC - Certified Inpatient Coder

Required and Preferred Qualifications:

  • Home Health claims auditing, quality assurance and/or recovery auditing experience of 2 years or more required. Experience of 3 or more years is preferred.
  • Must have Home Health experience.
  • Strong focus on quality and attention to detail.
  • Deep curiosity and analytical skills to understand root causes of events and behaviors.
  • Proven ability to apply critical judgment in clinical determinations; medical coding ability preferred.
  • In-depth knowledge of clinical criteria and documentation requirements to support code assignments.
  • Understanding of ICD-10-CM/PCS coding, UHDDS definitions, Official Coding Guidelines, and AHA's Coding Clinic Guidelines is preferred.
  • Ability to work independently and efficiently in a remote environment.

Apply