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Remote Nurse Auditor Jobs (NOW HIRING)

Option Care

Nursing Quality Assurance Auditor - LPN

Denver, CO · Remote

$57/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Partners with Remote Nursing Quality Assurance Auditor to add AIS standard scores to overall CMC QSA standards and score. * Partners with Remote auditor on findings to ensure opportunities for ...

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 ...

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 ...

Nurse telephone Triage Service, LLC

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RN Triage Nurse - REMOTE

Houston, TX · Remote

$26/hr

This position is 100% remote***** Nurse Telephone Triage Service, LLC, a dynamic, fast growing triage company is seeking RNs with both pediatric and adult experience to join our team. And for those ...

Nurse telephone Triage Service, LLC

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RN Triage Nurse - REMOTE

Charlotte, NC · Remote

$26/hr

This position is 100% remote***** Nurse Telephone Triage Service, LLC, a dynamic, fast growing triage company is seeking RNs with both pediatric and adult experience to join our team. And for those ...

Nurse telephone Triage Service, LLC

Be Seen First

RN Triage Nurse - REMOTE

Jacksonville, FL · Remote

$26/hr

This position is 100% remote***** Nurse Telephone Triage Service, LLC, a dynamic, fast growing triage company is seeking RNs with both pediatric and adult experience to join our team. And for those ...

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Remote Nurse Auditor information

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How much do remote nurse auditor jobs pay per hour?

As of Aug 17, 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?

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

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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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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 55% Full Time, and 45% Part Time. Highlights an 100% Remote job distribution, with an average salary of $68,617 per year, or $33 per hour.

Nurse Auditor - Medical Bill Review (Remote)

Rising Medical Solutions

Chicago, IL • Remote

Full-time

Medical, Retirement, PTO

Re-posted 17 days ago

Job description

Have you ever looked a medical bill and immediately noticed something was wrong? Were you itching to use your expertise to fix it? We've been there, too. In fact, that's how our business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment.

Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and erroneous charges. We pride ourselves on outstanding customer service and work hard to keep our impeccable reputation in the industry.

In this role, you'll be a part of our mission by giving clients the information they need to determine case value based on evaluation of medical records and medical billing statements, and will:


  • Audit medical and billing records to determine if services provided are reasonable, appropriate and necessary.
  • Clinically identify and evaluate any charges not related to the occurrence.
  • Verify that charges are in accordance with the services ordered and authorized.
  • Initiate appropriate contacts with clients and medical providers as appropriate and necessary.
  • Negotiate bills and conduct re-evaluation reviews as required


All while maintaining a human touch, demonstrating sensitivity to culturally-diverse people and situations.

Requirements

  • RN (or LPN) with active professional license or equivalent within states of operation
  • CPC and/or CPC-H certification(s) strongly desired
  • Specialized training in hospital coding, ortho, neuro, rehab, or ER procedures
  • 3-5 years of clinical experience in acute care, surgery and/or orthopedic
  • Workers’ Compensation medical bill review experience a major plus
  • Understanding of CPT and ICD-10 codes and Medicare guidelines
  • Ability to apply knowledge to state fee schedules
  • A customer service orientation, including strong communication skills
  • Experience in any deposition or litigation cases a plus

Benefits

  • Competitive benefits package, including health insurance, 401(k) with company match, paid time off, paid holidays, and more.
  • Flexible hybrid schedule with in-office days reserved for training and collaborative meetings
  • Employment within a firm committed to core values, staff development, emerging technology, private ownership, and controlled growth/reinvestment in the future - we frequently promote from within!
  • Opportunity to make a difference in reducing health care costs and increasing the value of health care to individuals and their employers.
  • A relaxed, yet upbeat work environment
  • And for those in the office: casual dress code with unlimited coffee!