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Remote Clinical Nurse Auditor Jobs (NOW HIRING)

Phelps Health

Nurse Auditor Reviewer

This position supports the Denial, Prevention, and Recovery Department (DPR) by providing Clinical ... Working Conditions * hybrid remote work * must be able to work collaboratively with stakeholders ...

Phelps Health

Nurse Auditor Reviewer

This position supports the Denial, Prevention, and Recovery Department (DPR) by providing Clinical ... Working Conditions * hybrid remote work * must be able to work collaboratively with stakeholders ...

Ensemble Health Partners, Inc.

Nurse Auditor

Validates clinical documentation against coding and billing requirements. Identifies discrepancies ... Remote Work 2024 Great Place to Work certified 2023-2024 * Innovation * Work-Life Flexibility

New

Ensemble Health Partners

Nurse Auditor

Validates clinical documentation against coding and billing requirements. Identifies discrepancies ... Remote Work 2024 Great Place to Work certified 2023-2024 * Innovation * Work-Life Flexibility

New

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 ...

Murj

Remote Clinical Specialist

Remote Clinical Specialists are essential to Murj's Remote Clinical Services model and directly ... Active RN or LVN license, or * Certified Rhythm Analysis Technician (CRAT) certification, or ...

Georgia

OQRI Auditor, Registered Nurse

Atlanta, GA · Remote

OQRI Auditor, Registered Nurse Remote Travel: 30-40% statewide with some overnights Job Summary: Conducts on-site reviews, audits or surveys of clinical and treatment facilities, regulated entity ...

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 ...

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

As of Sep 6, 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.

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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 3% As Needed, 71% Full Time, 18% Part Time, and 8% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $68,617 per year, or $33 per hour.

Nurse Auditor Reviewer

Phelps Health

Remote

Full-time

Posted 10 days ago

Phelps Health rating

6.4

Company rating: 6.4 out of 10

Based on 36 frontline employees who took The Breakroom Quiz

648th of 898 rated healthcare providers

Job description

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri.

No matter where you start with us, we're committed to taking our team to the top. If you're ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family.

General Summary

  • This position supports the Denial, Prevention, and Recovery Department (DPR) by providing Clinical Data Analyst and Review services. The Nurse Auditor performs appeal writing, reviews, and other tasks that may be assigned by the Denial and Prevention Director. Also serves as a contact person/liaison between auditors/external resources. Evaluates trends in denials, high risk areas and provides education.

Essential Duties and Responsibilities

  • Retrieves patient medical records to compile all requested documentation in the format stipulated and within the timeframe requested by CMS.
  • Tracks audit requests/appeals/due dates/correspondence and communicates with payer/auditor.
  • Compiles and presents reports on behalf of the Denial & Prevention Department.
  • Writes appeals, works with providers to obtain letters of medical necessity for appeal work, reviews records for medical necessity.
  • Manages departmental correspondence, mail, and tracking spreadsheets.
  • Cross trains to other roles within the department, in particular insurance review and case management.
  • Develops front end education and training to related denials.

Education

  • Graduate of an accredited Associates or Bachelor's Nursing program required. Training in Microsoft EXCEL highly preferred.


Work Experience

  • At least 3 years of clinical experience. Experience with utilization management, disccharge planning, and third party payors preferred. Must be computer literate and have knowledge and understanding of psycho/social needs.


Certification/License

  • Missouri or Compact State RN Licensure required.
  • Case Management certification preferred.

Mental/Physical Requirements

  • Considerable mental concentration. Ability to receive and express detailed information through oral and written communications. Excellent interpersonal and organizational skills.


Working Conditions

  • hybrid remote work
  • must be able to work collaboratively with stakeholders, speaking in public at times

At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around, and we invite you to see for yourself! Apply now to join us on our mission in health care.

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