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Remote Clinical Auditor Jobs (NOW HIRING)

Alkermes

Manager, Clinical Quality Assurance

Waltham, MA · On-site +1

$135K - $149K/yr

Clinical auditing and/or compliance experience for relevant GCP or GVP related fields. With ... When indicated perform or supervise remote vendor audits and provide follow-up as indicated

Cotiviti

Senior Auditor Quality - DRG

$47 - $56/hr

Performs clinical quality assurance review of daily clinical validation reviews. The quality ... Remote #senior Employment Type: OTHER

e4health

Outpatient Auditor - SMART Reviewer

Our solutions streamline clinical, financial, and health information workflows, optimize coding ... This is a remote role; work is performed in a home office environment. e4health is an equal ...

Humana, Inc.

Inpatient Medical Coding Auditor

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical ... Remote/work at home. While this is a remote position, occasional travel to Humana's offices for ...

Oscar Health

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

... clinical documentation improvement opportunities. You will work with management to implement ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

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Remote Clinical Auditor information

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How much do remote clinical auditor jobs pay per hour?

As of Jun 9, 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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What job categories do people searching Remote Clinical Auditor jobs look for? The top searched job categories for Remote Clinical Auditor jobs are:
Remote Clinical Auditor jobs near you
DRG Coding Reviewer / Auditor / Remote

DRG Coding Reviewer / Auditor / Remote

RCM Health Care Services

New York, NY • On-site, Remote

$85K/yr

Full-time

Retirement, PTO

Posted 13 days ago

Job description

Job Description
DRG Coding Reviewer - Auditor (Remote)
Compensation and Benefits
Salary:
  • $85,000
  • Competitive benefits + 401(k) match + PTO

Location:
  • Remote | Full-Time
  • HIPAA-compliant workspace required

Position Summary
A leading healthcare organization is seeking experienced DRG Coding Reviewers to support inpatient coding validation and payment integrity initiatives.
Responsibilities
Schedule / Shift:
  • 7.5-hour workday within core business hours

Key Duties:
  • Review inpatient claims to validate ICD-10 coding and DRG assignment
  • Perform coding and clinical validation reviews
  • Collaborate with physician reviewers as needed
  • Maintain productivity and 95%+ accuracy standards

Qualifications
Licenses and Certification:
  • CCS, CIC, or RHIT certification required

Skills:
  • 3+ years of MS-DRG/APR-DRG validation experience
  • Strong knowledge of ICD-10, CMS guidelines, and coding compliance

About Us
RCM Healthcare Services' mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates reach their career and life goals. We proudly hold the Joint Commission Gold Seal of Approval as well.
Equal Employment Opportunity & Reasonable Accommodation RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.

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