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Remote Nurse Auditor Jobs (NOW HIRING)

Phelps Health

Nurse Auditor Reviewer

The Nurse Auditor performs appeal writing, reviews, and other tasks that may be assigned by the ... Working Conditions * hybrid remote work * must be able to work collaboratively with stakeholders ...

Angel City VA

Remote Nurse

Remote Nurse Position: Remote Nurse Employment Type: Part-Time to Full-Time (flexible transition) Compensation: $7 USD per hour Location: Remote (work from home) About the Role We are seeking a ...

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 ...

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 ...

Exclusively Remote

Telephone triage nurses

Remote (Work from Home) Hours: Full-time, 3Pm-11pmSA (Monday Friday) Must Reside in South Africa Overview: We are seeking a tech-savvy, highly communicative Nurse to join our team as a Claims Call ...

Trinity Health

Specialist Charge - RIO (Remote)

$24.53 - $36.80/hr

Purpose Work Remote Position (Pay Range: $24.5303-$36.7954) Responsible for the data capture ... Assist Nurse Auditor and/or other stakeholders with denial related charge reviews, including ...

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Remote Nurse Auditor information

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$46

How much do remote nurse auditor jobs pay per hour?

As of Sep 3, 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 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.

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 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.

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.

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:

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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 August 2026, with employment types broken down into 4% As Needed, 58% Full Time, 15% Part Time, and 23% Contract. Highlights an 99% Physical, and 1% 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 8 days ago

Phelps Health rating

6.4

Company rating: 6.4 out of 10

Based on 36 frontline employees who took The Breakroom Quiz

650th 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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