ZipRecruiter

Log In

2

Remote Clinical Nurse Auditor Jobs (NOW HIRING)

MMC Group

DRG Auditor

San Antonio, TX · Remote

... remote DRG Validation Auditors. As members of the DRG Validation Team and working remotely ... Follow proper procedure for referral to Clinical Nurse Auditor or Physician Advisor. * Utilize ...

Ochsner Health

RN Nurse Auditor- Remote

Meridian, MS · On-site +1

Works in conjunction with clinical personnel during all audits and schedules, prepares action plans ... Performs defensive and charge capture auditing functions. * Handles all aspects of the Chart Audit ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...

Pharmacy Careers

Remote Clinical Review Pharmacist

$121K - $144K/yr

Remote Clinical Review Pharmacist - Work From Home | Evidence-Based Decisions | Flexible Schedule ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...

next page

Showing results 1-20

All Jobsremote JobsHealthcare JobsNursing JobsNurse JobsRemote Clinical Nurse Auditor Jobs

Remote Clinical Nurse Auditor information

See salary details

$19

$32

$46

How much do remote clinical nurse auditor jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote clinical nurse 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.

What is a remote clinical nurse auditor?

A Remote Clinical Nurse Auditor is a licensed nurse who reviews medical records and billing documentation to ensure accuracy, compliance, and quality of care. They work remotely to audit healthcare claims, assess medical necessity, and verify adherence to regulatory guidelines. Their role helps prevent errors, reduce fraud, and support healthcare providers in maintaining high standards. Strong analytical skills, clinical experience, and knowledge of coding and compliance regulations are essential for this position.

What does a remote clinical nurse auditor do?

A typical day for a Remote Clinical Nurse Auditor involves reviewing patient medical records to ensure proper documentation, accuracy of coding, and compliance with healthcare regulations. You may participate in virtual meetings with other auditors, quality assurance staff, or healthcare providers to discuss findings or clarify discrepancies. The role often includes generating detailed audit reports, identifying training needs, and providing feedback to clinical teams. Most work is independent and self-paced, but collaboration and communication with broader quality or compliance teams are common, often facilitated by secure digital platforms.

What are the key skills and qualifications needed to thrive in the remote clinical nurse auditor position, and why are they important?

To thrive as a Remote Clinical Nurse Auditor, you need a strong background in clinical nursing, keen attention to detail, and experience with medical record review, usually supported by an active RN license. Familiarity with auditing software, electronic health records (EHRs), and possibly certifications such as Certified Professional Medical Auditor (CPMA) are often required. Strong analytical thinking, self-motivation, excellent written communication, and time management skills help set top performers apart. These qualifications are vital for accurately evaluating clinical documentation, ensuring compliance, and working independently in a remote setting.

More about Remote Clinical Nurse Auditor jobs

What cities are hiring for Remote Clinical Nurse Auditor jobs?

Cities with the most Remote Clinical Nurse Auditor job openings:

What are the most commonly searched types of Clinical Nurse Auditor jobs?

The most popular types of Clinical Nurse Auditor jobs are:

What states have the most Remote Clinical Nurse Auditor jobs?

States with the most job openings for Remote Clinical Nurse Auditor jobs include:

What job categories do people searching Remote Clinical Nurse Auditor jobs look for?

The top searched job categories for Remote Clinical Nurse Auditor jobs are:

Remote Clinical Nurse Auditor jobs near you
Infographic showing various Remote Clinical Nurse Auditor job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 70% Full Time, 17% Part Time, and 9% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $68,617 per year, or $33 per hour.

DRG Auditor

MMC Group

San Antonio, TX • Remote

Full-time

Re-posted 4 days ago

Job description


Job Description:

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 and working remotely, incumbents will be responsible for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries of various health plans, including Commercial, Medicare, and Medicaid Clients. DRG Validation Auditors are charged with rendering appropriate, well-supported, and thoroughly-documented decisions, which may result in identification of improper payments (overpayments and underpayments) on paid claims on behalf of the client from various providers of clinical services, including but not limited to acute care, long-term acute care, acute rehabilitation, and skilled nursing facilities, as well as other provider types and care settings. Initially, DRG Validation Auditors are prepared for the role through a detailed, well-defined training process, gaining knowledge and skills in methods for review of medical records and other provider documentation. Ongoing training and education are provided specific to audit processes, coding and reimbursement changes, and other topics as well. The DRG Validation Auditor reports to a DRG Validation Team Leader, who provides support, feedback, and guidance to DRG Validation Auditors. Moreover, quality assurance is provided through a well-defined review and quality management program performed by the Professional Development Team.


Specifically, DRG Validation Auditors will be responsible for the following:


  • Review inpatient medical records to validate the admit order, assignment and sequencing of ICD9-CM diagnosis and procedure codes, discharge status codes, and DRG assignment.

  • Provide a detailed rationale for every medical record review resulting in a DRG Review Results letter, including supporting references.

  • Follow proper procedure for referral to Clinical Nurse Auditor or Physician Advisor.

  • Utilize proper reference material, standards, and guidelines for coding.

  • Provide input to the Edit Development team on claims selection criteria.

  • Verify data received from client and work to resolve discrepancies.

  • If the contract requires onsite review, interact with Providers and other personnel in a professional manner.

  • Follow policies and processes

  • Comply with department standards regarding productivity and audit quality.

  • Perform other duties as assigned.



To be considered for these challenging roles, applicants must have a majority of the following skills, knowledge and abilities:


  • Possess current AHIMA credentials (RHIT/RHIA/CCS), with current CCS preferred

  • Demonstrate extensive knowledge of ICD-9-CM coding and DRG reimbursement, with a minimum of five years of inpatient coding experience

  • Have an understanding of Medicare, Medicaid, and commercial provider reimbursement methodologies, and possess strong data analysis skills

  • Working knowledge of computer functions and applications such as Microsoft Office (Outlook, Word, Excel) and Windows operating systems

  • Ability to write a well-reasoned review in a narrative style, with accurate spelling, grammar, punctuation, and sentence structure

  • Ability to adapt to changing priorities in order to meet Client requirements and productivity standards and deadlines

  • Ability to travel for additional training and on-site reviews on an as-needed basis

  • Since incumbents will work from their home-based offices, they must have their own access to high-speed Internet connectivity