Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your ...
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Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your ...
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Washington, DC · On-site +1
$85K - $133K/yr
Summary This position serves as an Auditor (Performance) in the OIG's Office of Inspections (JE). JE oversees a wide range of qualitative and quantitative analytical methods and management principles ...
Auditor (Performance)
Washington, DC · On-site +1
$85K - $133K/yr
Summary This position serves as an Auditor (Performance) in the OIG's Office of Inspections (JE). JE oversees a wide range of qualitative and quantitative analytical methods and management principles ...
These are remote contract positions with extensive amount of travels (95-100%). You must live close ... Knowledge of management systems auditing practices * High level of integrity and conformity ...
These are remote contract positions with extensive amount of travels (95-100%). You must live close ... Knowledge of management systems auditing practices * High level of integrity and conformity ...
These are remote contract positions with extensive amount of travels (95-100%). You must live close ... Knowledge of management systems auditing practices * High level of integrity and conformity ...
These are remote contract positions with extensive amount of travels (95-100%). You must live close ... Knowledge of management systems auditing practices * High level of integrity and conformity ...
These are remote contract positions with extensive amount of travels (95-100%). You must live close ... Knowledge of management systems auditing practices * High level of integrity and conformity ...
These are remote contract positions with extensive amount of travels (95-100%). You must live close ... Knowledge of management systems auditing practices * High level of integrity and conformity ...
These are remote contract positions with extensive amount of travels (95-100%). You must live close ... Knowledge of management systems auditing practices * High level of integrity and conformity ...
These are remote contract positions with extensive amount of travels (95-100%). You must live close ... Knowledge of management systems auditing practices * High level of integrity and conformity ...
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Alexandria, VA · On-site +1
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Staff Auditor
Alexandria, VA · On-site +1
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As a Senior Auditor, you will evaluate the interim and final financial statement packages for compliance with generally accepted accounting principles. Every day, you will : * Perform substantive ...
Senior Auditor (Financial Statements)
Alexandria, VA · On-site +1
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Remote VA Experienced Outpatient Coding Auditors (Full-Time and Part-Time Positions Available) Summary As a result of recent new multi-year VHA contracts awarded, Cooper Thomas, LLC, a leading ...
Outpatient Coding Auditors (FT and PT)
Washington, DC · On-site +1
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Alexandria, VA · On-site +1
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Staff Auditor
Alexandria, VA · On-site +1
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Washington, DC · On-site +1
$75K - $185K/yr
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Sr. Clinical QA Auditor
Washington, DC · Remote
$75K - $188K/yr
Overview The Sr. Clinical QA Auditor is a critical CQA team member. We are seeking an experienced ... Plan, conduct, and report onsite and remote audits, ensuring alignment with regulatory requirements ...
Sr. Clinical QA Auditor
Washington, DC · Remote
$75K - $188K/yr
Overview The Sr. Clinical QA Auditor is a critical CQA team member. We are seeking an experienced ... Plan, conduct, and report onsite and remote audits, ensuring alignment with regulatory requirements ...
Sr. Clinical QA Auditor
Washington, DC · Remote
$75K - $188K/yr
Overview The Sr. Clinical QA Auditor is a critical CQA team member. We are seeking an experienced ... Plan, conduct, and report onsite and remote audits, ensuring alignment with regulatory requirements ...
Sr. Clinical QA Auditor
Washington, DC · Remote
$75K - $188K/yr
Overview The Sr. Clinical QA Auditor is a critical CQA team member. We are seeking an experienced ... Plan, conduct, and report onsite and remote audits, ensuring alignment with regulatory requirements ...
Creativity, Inclusion, Transparency, Accountability Hybrid work environment with remote and in ... Perform other accounting, auditing, and consulting duties as needed in engagements and as assigned ...
Creativity, Inclusion, Transparency, Accountability Hybrid work environment with remote and in ... Perform other accounting, auditing, and consulting duties as needed in engagements and as assigned ...
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$30.75 - $35/hr
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Inpatient Audit Specialist PRN Sign on Bonus
Washington, DC · Remote
$30.75 - $35/hr
... As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and ... This role is fully remote with a flexible schedule, allowing you to help shape the future of health ...
Comprehends and follows auditing plans and methodologies specific to contract requirements ... For remote work, required to have wired and/or wireless internet access.
Comprehends and follows auditing plans and methodologies specific to contract requirements ... For remote work, required to have wired and/or wireless internet access.
Remote Auditor information
See Reston, VA salary details
$10.75 - $14.16
15% of jobs
$14.92 is the 25th percentile. Wages below this are outliers.
$14.16 - $17.57
46% of jobs
$19.38 is the 75th percentile. Wages above this are outliers.
$17.57 - $20.98
26% of jobs
$20.98 - $24.39
7% of jobs
$24.39 - $27.80
1% of jobs
$27.80 - $31.22
1% of jobs
$31.22 - $34.63
1% of jobs
$34.63 - $38.04
0% of jobs
$38.04 - $41.45
1% of jobs
$41.45 - $44.86
1% of jobs
$44.86 - $48.27
0% of jobs
$10
$19
$48
How much do remote auditor jobs pay per hour?
What are Remote Auditors?
What are the key skills and qualifications needed to thrive as a Remote Auditor, and why are they important?
How does a Remote Auditor typically collaborate with on-site teams and clients during an audit process?
What is the difference between Remote Auditor vs Internal Auditor?
| Aspect | Remote Auditor | Internal Auditor |
|---|---|---|
| Certifications | CPA, CIA, CISA often preferred | CPA, CIA, CISA often preferred |
| Work Environment | Remote, independent, client sites | In-office or on-site within organization |
| Employer & Industry | External firms, consulting, diverse industries | Within organizations, corporate sectors |
| Search & Comparison Intent | External audits, compliance, risk assessment | Internal controls, process improvement |
Remote Auditors typically work for external firms or as consultants, conducting audits remotely for various clients across industries. Internal Auditors are employed within organizations to evaluate internal controls and processes on-site or remotely. Both roles require similar certifications but differ mainly in work environment and focus area.
What Does a Remote Auditor Do?
As a remote auditor, you perform a variety of accounting duties for a financial firm, bank, or another client. You audit your client’s statement and tax paperwork, review assets, and ensure that the firm or client is complying with all federal and state regulations regarding taxes and transparency. As an auditor, your responsibilities also include identifying areas where there are inefficiencies or financial waste in a company. Your reports allow managers and directors to come up with solutions to address the waste.

SIU Nurse Auditor, RN, CPC (Full-time, Remote)
Integrity Management Services, Inc.Alexandria, VA • Remote
Other
Posted 5 days ago
Job description
Job Title: Clinical Nurse Auditor - Payment Integrity
Job Summary
We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential.
How You Will Make an Impact
- Investigations and Audits: Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
- Tool and Policy Development: Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
- Cross-Departmental Collaboration: Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
- Data Analysis and Trending: Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
- Fraud Detection Support: Support fraud investigators with medical review expertise to detect and address fraudulent activities.
- Mentorship: Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.
Requirements
Qualifications
- Education:
- Minimum Associate's Degree in Nursing required;
- Licensure & Certification:
- Current, unrestricted Registered Nurse (RN) license in applicable state(s).
- Certification in medical coding from AAPC or AHIMA (e.g., CPC, CIC, CDI, or equivalent) is highly preferred.
- Experience:
- Minimum 5 years of clinical nursing experience, preferably with exposure to hospital bill auditing or defense auditing.
- Strong knowledge of provider manuals, reimbursement policies, and medical policy guidelines.
- Prior experience with healthcare fraud investigation and auditing is highly preferred.
- Skills:
- Proficiency in CPT/HCPCS and ICD-10 coding, with a strong foundation in auditing, accounting, and control principles.
- Analytical and problem-solving skills with a keen attention to detail.
- Exceptional written and verbal communication skills for clear and effective reporting and provider engagement.
- Strong proficiency in Microsoft Office and familiarity with audit tracking systems.
Preferred Traits
- Meticulous, organized, and objective in analyzing claims and documentation.
- Ethical and responsible, with a commitment to supporting the integrity of healthcare billing and reimbursement.
- Able to work independently, stay current with rapidly changing healthcare regulations, and thrive in a fast-paced environment.
About Integrity Management Services
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
51 - 200 Employees
Headquarters location
Alexandria, VA, US
Year founded
2009