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Remote Clinical Auditor Jobs (NOW HIRING)

MMC Group

DRG Auditor

San Antonio, TX · Remote

A leader in providing clinical auditing services to public and commercial healthcare payers throughout the US, has openings for remote DRG Validation Auditors. As members of the DRG Validation Team ...

CGI Inc.

Remote MSDRG Auditor

Atlanta, GA · On-site +1

Remote MSDRG Auditor Category: Analytics and Emerging Digital Technologies Main location: United ... Follows proper procedure for referral to Clinical Nurse Auditor or Physician Advisor, as applicable.

Mckesson

Clinical QA Auditor - Remote US

Concord, NC · Remote

This is a remote position based in the US; relocation assistance and visa sponsorship are not ... clinical research environment required; Quality Assurance Auditing experience required * Work ...

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How much do remote clinical auditor jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for remote clinical auditor in the United States is $19.21, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $19.23 per hour, depending on experience, location, and employer.

How does a Remote Clinical Auditor typically collaborate with on-site medical staff and other team members?

As a Remote Clinical Auditor, effective collaboration with on-site medical staff and interdisciplinary teams is essential to ensure accurate and comprehensive audit results. Communication is often managed through video conferencing, secure messaging platforms, and shared documentation systems. Regular virtual meetings and clear reporting protocols help bridge the physical distance, allowing auditors to clarify findings, address questions, and provide feedback in real time. Building strong professional relationships and maintaining a proactive communication style are key to ensuring smooth workflows and successful audit outcomes.

What is the difference between Remote Clinical Auditor vs Remote Data Analyst?

AspectRemote Clinical AuditorRemote Data Analyst
Required CredentialsCertifications in clinical auditing, healthcare complianceData analysis certifications, SQL, Excel skills
Work EnvironmentHealthcare settings, clinical research organizationsVarious industries, including healthcare, finance, marketing
Employer & Industry UsagePharmaceutical companies, CROs, healthcare providersTech firms, healthcare, finance, marketing agencies
Common Search & ComparisonYesNo

Remote Clinical Auditors focus on reviewing clinical trial data for compliance and accuracy, often requiring healthcare certifications. Remote Data Analysts interpret data sets across industries, emphasizing statistical and technical skills. While both roles involve data handling, their industry focus and required credentials differ significantly.

What are the key skills and qualifications needed to thrive as a Remote Clinical Auditor, and why are they important?

To thrive as a Remote Clinical Auditor, you need a strong background in clinical documentation, healthcare regulations, and auditing principles, typically supported by a degree in a health-related field and relevant certifications such as RHIA, RHIT, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and audit management tools is essential. Exceptional attention to detail, analytical thinking, and effective communication skills help auditors identify discrepancies and convey findings clearly. These skills ensure accurate compliance reviews, support organizational integrity, and maintain high standards in healthcare data quality.

What is a Remote Clinical Auditor?

A Remote Clinical Auditor is a healthcare professional who reviews medical records and clinical documentation from a remote location to ensure compliance with healthcare regulations, policies, and quality standards. They assess the accuracy, completeness, and consistency of patient records, often for billing, coding, or regulatory purposes. By working remotely, they utilize secure digital systems to access records and communicate findings with healthcare providers. Their work helps healthcare organizations maintain high standards of patient care and avoid compliance issues.
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What are the most commonly searched types of Clinical Auditor jobs? The most popular types of Clinical Auditor jobs are:
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Remote Clinical Auditor jobs near you
Infographic showing various Remote Clinical Auditor job openings in the United States as of July 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $39,947 per year, or $19.2 per hour.
Revenue Cycle Medical Billing Resource Utilization Clinical Auditor

Revenue Cycle Medical Billing Resource Utilization Clinical Auditor

Air Evac Lifeteam

West Plains, MO • On-site, Remote

$73K/yr

Full-time

Posted 18 days ago

Job description

Job Description

Revenue Cycle Medical Billing - Appeal Resource Utilization Clinical Auditor

(must be a licensed RN)

Location:  Remote or On-Site, United States

Annual Compensation:  $73,000

(this position is bonus eligible)

Work Schedule:  Full-Time Exempt

 

 

Job Summary

Review and audit medical necessity justification for air and ground ambulance transports, evaluation, and submission of all medical necessity appeals for commercial payors.  Utilize clinical experience, established clinical standards and protocols to validate air medical necessity and appeal payment denials.

Essential Functions/ Duties

  • Conduct audits of the medical necessity appeals for all payor sources in the role of advocate for the patient and GMR.
  • Ensure appeal timelines are met by moving the assigned book of business through the appeals process and updates appeals database.
  • Work with fixed deadlines and demonstrates willingness to meet and exceed performance metrics.
  • Work with the Appeal team to determine the best approach to each clinical denial in order to maximize claim reimbursement and minimize the financial risk to patients and GMR.
  • Maintain strict confidentiality of all protected health information and cooperates fully with all information security guidelines related to the scope of work.

Qualifications

Required Experience:

  • Licensed RN with minimum of five years in Emergency department (ED), Intensive Care Unit (ICU), flight or ambulance experience or job experience equivalent
  • Some supervisory/leadership experience preferred (i.e.: team leader, FTO, charge nurse, preceptor, educator, etc.)
  • Proficient in Word, Excel, Office 365

Education/Licensure:

  • Current RN licensure, is required
  • Bachelor's degree in nursing or equivalent, is preferred
  • CFRN, CEN or CCRN, is preferred

 Skills:

  • Excellent written communication skills
  • Ability to define and identify problems, collect data, establish facts, and draw valid conclusions
  • Ability to respond to inquiries or complaints from customers in a positive and productive manner
  • Ability to calculate numbers, correct entries, and post to records
  • Ability to gather data from hospital and EMS charts, phone calls, emails, colleagues, and internet research, then compile information and prepare reports and letters
  • Ability to use independent judgment and to manage and impart confidential information
  • Ability to research local EMS protocols, hospital referrals, and standards of care
  • Ability to review clinical charts and development of constructive feedback

Why Choose Air Evac Lifeteam? As a leader in helicopter air ambulance services, Air Evac Lifeteam is one of Global Medical Response's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com.

GMR's Core Behaviors-keep care at the center, raise your hand, seek to understand, find a way together and be accountable-unite our teams and set us apart in emergency medical services.

EEO Statement

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

More Information about this Job

Check out our careers site benefits page to learn more about our benefit options.

Employment Type: FULL_TIME

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