ZipRecruiter

Log In

2

Remote Nurse Auditor Jobs (NOW HIRING)

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.

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 ...

next page

Showing results 1-20

All JobsRemote Nurse Auditor Jobs

Remote Nurse Auditor information

See salary details

$19

$32

$46

How much do remote nurse auditor jobs pay per hour?

As of Jun 27, 2026, the average hourly pay for remote 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 are some common challenges faced by Remote Nurse Auditors and how can they be addressed?

Remote Nurse Auditors often face challenges such as staying organized while managing multiple audits simultaneously, adapting to evolving healthcare regulations, and ensuring clear communication with both internal teams and external providers. To address these, it's helpful to establish a structured workflow, regularly participate in training to stay current on regulatory changes, and use secure communication tools to facilitate collaboration. Proactively reaching out to colleagues and seeking feedback can also enhance audit accuracy and foster a supportive remote work environment.

What is the difference between Remote Nurse Auditor vs Remote Coding Specialist?

AspectRemote Nurse AuditorRemote Coding Specialist
Required CredentialsRN license, auditing certifications (e.g., CCA, CHCA)Coding certifications (e.g., CPC, CCS)
Work EnvironmentHealthcare facilities, insurance companies, remoteHealthcare providers, insurance companies, remote
Industry UsageHealthcare auditing, compliance, reimbursementMedical coding, billing, reimbursement
Common Search/ComparisonYesYes

Remote Nurse Auditors and Remote Coding Specialists both work remotely in healthcare, focusing on reimbursement and compliance. While Nurse Auditors review medical records for accuracy and compliance, Coding Specialists assign medical codes for billing. Both roles require certifications and are vital in healthcare revenue cycle management, but they differ in daily tasks and credentials.

What Does a Remote Nurse Auditor Do?

As a remote nurse auditor, your responsibilities are to review medical records to ensure accuracy and assess the appropriate level of care. In this work from home position, your duties may include reviewing insurance claims to ensure that they meet regulation standards, evaluating the quality of care and patient satisfaction, or assisting in billing changes. You may find employment with hospitals, clinics, insurance companies, and other health service providers.

What is the highest paying remote nurse job?

The highest paying remote nurse jobs typically include nurse anesthetists, nurse practitioners, and clinical nurse specialists, with nurse anesthetists often earning the highest salaries. These roles require advanced certifications and offer specialized clinical responsibilities, with salaries varying based on experience and location but generally exceeding $150,000 annually for experienced professionals working remotely. Certification in anesthesia or advanced practice nursing is essential for these high-paying roles.

What is a Remote Nurse Auditor?

A Remote Nurse Auditor is a registered nurse who reviews medical records, billing information, and healthcare documentation from a remote location to ensure accuracy, compliance, and appropriate reimbursement. They analyze patient files to verify that the care provided meets regulatory and insurance guidelines, helping to prevent errors or fraud. Remote Nurse Auditors work for hospitals, insurance companies, and other healthcare organizations, often utilizing specialized software to conduct their audits. This role requires strong attention to detail, clinical knowledge, and familiarity with medical coding and billing practices.

How to make $300,000 as a nurse online?

A remote nurse auditor can potentially earn $300,000 annually by gaining specialized certifications, gaining extensive experience, and working for high-paying healthcare organizations or consulting firms. Building a strong reputation and handling complex cases can also increase earning potential, often through freelance or contract work. Advanced skills in coding, documentation review, and compliance are essential for higher income levels in this field.

How to get a nurse auditor job?

To become a nurse auditor, candidates typically need a registered nurse (RN) license and experience in healthcare or medical billing. Earning certifications such as the Certified Professional Medical Auditor (CPMA) can improve job prospects, and familiarity with medical records, coding, and auditing software is often required. Applying to healthcare organizations, insurance companies, or auditing firms and demonstrating strong analytical skills are key steps.

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

To thrive as a Remote Nurse Auditor, you need a nursing degree (RN or higher), strong clinical knowledge, and experience in medical record review or healthcare compliance. Familiarity with auditing software, electronic health record (EHR) systems, and industry-standard coding systems like ICD-10 and CPT is typically required. Exceptional attention to detail, analytical thinking, and effective written communication are valuable soft skills for this position. These competencies ensure accurate audits, compliance with regulations, and effective collaboration with healthcare teams while working remotely.

How to make an extra 2000 a month as a nurse?

A remote nurse auditor can increase income by taking on additional cases, working flexible hours, or obtaining specialized certifications to qualify for higher-paying assignments. Developing skills in coding, documentation review, and healthcare compliance can also lead to higher-paying opportunities and extra income.
More about Remote Nurse Auditor jobs
What cities are hiring for Remote Nurse Auditor jobs? Cities with the most Remote Nurse Auditor job openings:
What are the most commonly searched types of Nurse Auditor jobs? The most popular types of Nurse Auditor jobs are:
What states have the most Remote Nurse Auditor jobs? States with the most job openings for Remote Nurse Auditor jobs include:
What job categories do people searching Remote Nurse Auditor jobs look for? The top searched job categories for Remote Nurse Auditor jobs are:
Remote Nurse Auditor jobs near you
Infographic showing various Remote Nurse Auditor job openings in the United States as of June 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $68,617 per year, or $33 per hour.
SIU Nurse Auditor, RN, CPC (Full-time, Remote)

SIU Nurse Auditor, RN, CPC (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA • Remote

Other

Posted 22 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.

Apply