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Remote Nurse Reviewer Jobs in Decatur, GA (NOW HIRING)

Zelis

Inpatient DRG Sr. Reviewer

Atlanta, GA · On-site +1

$95K - $120K/yr

Registered Nurse licensure preferred * Inpatient Coding Certification required (i.e., CCS, CIC ... We foster a hybrid and remote friendly culture, and all our employee's work locations are based on ...

CGI Inc.

Remote MSDRG Auditor

Atlanta, GA · On-site +1

... and skilled nursing facilities, as well as other provider types and care settings. The DRG ... The review process may result in changes to the payment for previously-rendered services, and ...

SalvoHealth

Medical Assistant, Remote

Atlanta, GA · Remote

$18 - $22/hr

... nurses, psychologists, and therapists who have developed our evidence-based protocols, for a ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

SalvoHealth

Medical Assistant, Remote

Atlanta, GA · Remote

$18 - $22/hr

... nurses, psychologists, and therapists who have developed our evidence-based protocols, for a ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

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Remote Nurse Reviewer information

See Decatur, GA salary details

$27

$36

$41

How much do remote nurse reviewer jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for remote nurse reviewer in Decatur, GA is $36.16, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $40.38 per hour, depending on experience, location, and employer.

What are some common challenges faced by Remote Nurse Reviewers, and how can they be managed?

Remote Nurse Reviewers often encounter challenges such as balancing productivity with quality, adapting to frequent changes in healthcare regulations, and managing communication across virtual teams. To manage these, it's important to stay organized, participate in ongoing training, and utilize digital collaboration tools effectively. Regular check-ins with supervisors and colleagues can also help maintain connection and clarity on case review expectations, ensuring both accuracy and efficiency in your work.

What Does a Remote Nurse Reviewer Do?

As a remote nurse reviewer, you work from home to conduct pre-authorization, check out-of-network benefit information, and determine treatment appropriateness, along with other reviewing responsibilities. In this role, you follow clinical and departmental guidelines when reviewing documents to determine if the treatment used was needed and appropriate. Your duties are to consider medical necessity clinical screenings, determine if medical necessity criteria are met for the patient, communicate with insurance companies for pre-authorization, notify physicians about insurance decisions, and document all reviews. You make phone calls and examine the record from home, allowing you to work a flexible schedule.

What are Remote Nurse Reviewers?

Remote Nurse Reviewers are registered nurses who assess medical records, insurance claims, or healthcare documentation from a remote location, typically from home. They play a crucial role in ensuring that patient care meets established guidelines and that services billed to insurance are medically necessary and appropriately documented. Their work often involves collaborating with physicians, insurance companies, and healthcare providers to review cases, determine coverage, and support utilization management. This position requires strong clinical knowledge, attention to detail, and proficiency with electronic health records and telecommunication tools.

What is the difference between Remote Nurse Reviewer vs Remote Medical Coder?

AspectRemote Nurse ReviewerRemote Medical Coder
Required CredentialsRN license, clinical experienceCertification (CPC, CCS), coding training
Work EnvironmentHealthcare organizations, insurance companiesHospitals, billing companies, insurance firms
Industry UsageMedical review, claims assessmentMedical billing, coding, reimbursement
Search/Comparison IntentUnderstanding clinical review rolesUnderstanding coding and billing roles

Remote Nurse Reviewers primarily evaluate medical records to ensure accuracy and compliance, requiring nursing credentials and clinical experience. Remote Medical Coders focus on translating medical procedures into billing codes, requiring coding certifications. Both roles are remote, serve healthcare and insurance industries, but differ in daily tasks and required qualifications.

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

To thrive as a Remote Nurse Reviewer, you need a current RN license, clinical experience, and a strong understanding of medical terminology and healthcare regulations. Familiarity with utilization review platforms, electronic health records (EHRs), and coding systems such as ICD-10 and CPT is typically required. Exceptional attention to detail, critical thinking, and effective written communication skills help you stand out in this role. These competencies are vital to ensuring accurate medical reviews, regulatory compliance, and clear communication with providers and payers in a remote work environment.
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Remote Nurse Reviewer jobs near you
Collaborating Psychiatrist (Psych NP Supervision)

Collaborating Psychiatrist (Psych NP Supervision)

Vitae Health Systems

Atlanta, GA • On-site, Remote

Part-time

Re-posted 14 days ago

Job description

Collaborating Psychiatrist (Psych NP Supervision) - Remote Georgia
Company: Vitae Health Systems
Location: Remote - Georgia
Compensation: $700 per Nurse Practitioner per month
Commitment: Part-time / Contract
About Vitae Health Systems
Vitae Health Systems is a leading provider of behavioral health and internal medicine services in post-acute and long-term care settings. Our team partners with skilled nursing and rehabilitation facilities across multiple states to deliver high-quality psychiatric care to underserved populations.
We are seeking a Georgia-licensed Psychiatrist to serve as a Collaborating Physician for our Psychiatric Nurse Practitioners practicing in Georgia. This is a flexible, low-time-commitment opportunity ideal for psychiatrists interested in supporting high-quality NP-led behavioral health care.
Position Overview
The Collaborating Psychiatrist will provide clinical collaboration and oversight to Psychiatric Nurse Practitioners in accordance with Georgia state regulations and protocol agreements. The role primarily involves periodic chart review, protocol oversight, and clinical consultation as needed.
Requirements
Responsibilities
  • Enter into and maintain a Collaborative Practice Agreement / Nurse Protocol Agreement with Psychiatric Nurse Practitioners.
  • Conduct periodic chart reviews and co-sign documentation as required by Georgia regulations.
  • Review and sign off on medication management and prescribing documentation when applicable.
  • Be available for clinical consultation regarding patient care and treatment planning.
  • Provide general oversight and feedback to ensure high standards of psychiatric care.
  • Participate in periodic protocol review and quality assurance activities as required by state guidelines.

Qualifications
  • MD or DO with board certification or board eligibility in Psychiatry
  • Active and unrestricted Georgia medical license
  • DEA registration preferred
  • Ability to enter into collaborative agreements with Psychiatric Nurse Practitioners under Georgia law
  • Interest in supporting team-based psychiatric care
  • Prior experience working with NPs or in collaborative care settings preferred

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