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Remote Nurse Reviewer Jobs in Racine, WI (NOW HIRING)

Associate Medical Director

Sturtevant, WI ยท On-site +1

$265K - $294K/yr

This position supervises the physicians and nurse practitioners at designated regional institutions ... This position has the flexibility of a hybrid in-office and remote work schedule of up to 3 days ...

Showing results 41-51

Remote Nurse Reviewer information

See Racine, WI salary details

$26

$34

$40

How much do remote nurse reviewer jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for remote nurse reviewer in Racine, WI is $34.73, according to ZipRecruiter salary data. Most workers in this role earn between $32.02 and $38.75 per hour, depending on experience, location, and employer.

What is a remote nurse reviewer?

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 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 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.

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 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 popular job titles related to Remote Nurse Reviewer jobs in Racine, WI?

For Remote Nurse Reviewer jobs in Racine, WI, the most frequently searched job titles are:

What job categories do people searching Remote Nurse Reviewer jobs in Racine, WI look for?

The top searched job categories for Remote Nurse Reviewer jobs in Racine, WI are:

What cities near Racine, WI are hiring for Remote Nurse Reviewer jobs?

Cities near Racine, WI with the most Remote Nurse Reviewer job openings:

Infographic showing various Remote Nurse Reviewer job openings in Racine, WI as of September 2026, with employment types broken down into 3% As Needed, 59% Full Time, 17% Part Time, 1% Temporary, 19% Contract, and 1% Nights. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $72,233 per year, or $34.7 per hour.

Senior Accountant, Outsourced Accounting - Healthcare Industry Clients

Milwaukee, WI โ€ข Remote

Wipfli Advisory LLC
Accounting Servicesย โ€ขย 1 - 5K employees

$74K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 10 days ago


Job description

Referral Details

Referral Job Board:

We greatly appreciate your referral, and we look forward to reviewing the qualifications of the candidate you've recommended. Here's a brief overview of the process:

After you've completed this referral form, your recommended candidate will be directed to apply for the specific role through our website. This step is crucial for Wipfli to remain compliant with federal laws and to ensure a fair and transparent selection process. Once their application is received, our Talent Acquisition team will evaluate their qualifications, including how well they align with the requirements of the role and the broader needs of our organization.

Your referred candidate will remain in our candidate database for future opportunities, offering them additional chances to become part of our team. As the referrer, your role in the recruitment process is to bring potential talent to our attention. We ask that you refrain from discussing updates on the candidate's status, out of respect for their personal consideration. Our Talent Acquisition team will provide you with a final update once the candidate has been informed of their application status. Throughout this process, we may reach out to you with any questions or additional information to ensure a seamless and effective referral experience.

Thank you for your invaluable contribution to our recruitment efforts, and we sincerely appreciate your understanding and support throughout this process.ย  Ifย you would like to read more about referral bonus eligibility, please visit InSite: Referral Bonus Program Eligibility

ResponsibilitiesWHAT YOU'LL DO - Manage day-to-day financial reporting accuracy for assigned clients. - Assist with complex general ledgers, identifying missing transactions and trends to ensure overall accuracy. - Guide the review and approval of account classifications. - Review balance sheets for accuracy and facilitate follow-up. - Coordinate project tasks to ensure efficient client workflow. - Prepare and/or review the initial draft of monthly reporting packages, including KPIs/metrics. - Prepare and finalize month-end close. - Maintain and update the client procedure manual to ensure appropriate process documentation. - Prepare and/or review work papers and schedules to ensure completeness and accuracy. - Participate in cross-collaboration with other teams/service lines, as applicable. - Assist in estimating and managing work assignments of accountants to meet client needs and budget constraints. - Assist in the development of best practices.Knowledge, Skills and AbilitiesWHAT WE SEEK - Bachelor's degree in Accounting, Finance, or a related fiel - CPA certification preferred - Minimum of 5 years of accounting experience, with a focus on financial reporting and general ledger management - Experience with full cycle accounting in the healthcare industry e.g., physician practice, skilled nursing, hospitals and clinics - Strong understanding of accounting principles and month-end close processes - Excellent analytical and problem-solving skills - Proficient in accounting software and Microsoft Office Suite - Strong communication and interpersonal skills - Ability to project manage multiple tasks and meet deadlines ย  Estella Anderson, from our recruiting team, will be guiding you through this process. Visit her LinkedIn page to connect!ย  ย  ย #LI-REMOTE #LI-EA1Additional DetailsAdditional Details: ย  Wipfli is an equal opportunity/affirmative action employer. All candidates will receive consideration for employment without regards to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identify, veteran status, disability, or any other characteristics protected by federal, state, or local laws. ย  ย  Wipfli is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or participate in our recruiting process, please send us an email at hr@wipfli.com ย  Wipfli values fair, transparent, and competitive compensation, considering each candidate's unique skills and experiences. The estimated base pay range for this role is $74,000 to $100,000 with offers typically not made at the maximum, allowing for future salary increases. The actual salary at the time of offer depends on business related factors like location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws. ย  Individuals may be eligible for an annual discretionary bonus, subject to participation rules and based on a variety of factors including, but not limited to, individual and Firm performance. ย  Individuals may be eligible for an annual discretionary bonus, subject to participation rules and based on a variety of factors including, but not limited to, individual and Firm performance. ย  Wipfli cares about our associates and offers a variety of benefits to support their well-being. Highlights include 8 health plan options (both HMO & PPO plans), dental and vision coverage, opportunity to enroll in HSA with potential Firm contribution and an Employee Assistance Program. Other benefits include firm-sponsored basic life and short and long-term disability coverage, a 401(k) savings plan & profit share as well as Firm matching contribution, well-being incentive, education & certification assistance, flexible time off, family care leave, parental leave, family formation benefits, cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D. Eligibility for all benefits programs is dependent on annual hours expectation, position status/level and location.ย  ย  "Wipfli" is the brand name under which Wipfli LLP and Wipfli Advisory LLC and its respective subsidiary entities provide professional services. Wipfli LLP and Wipfli Advisory LLC (and its respective subsidiary entities) practice in an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable law, regulations, and professional standards. Wipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. Wipfli Advisory LLC and its subsidiary entities are not licensed CPA firms.Employment Type: FULL_TIME