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Remote Nurse Reviewer Jobs in Raleigh, NC (NOW HIRING)

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Remote Nurse Reviewer information

See Raleigh, NC salary details

$27

$35

$41

How much do remote nurse reviewer jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote nurse reviewer in Raleigh, NC is $36.00, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $40.19 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 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 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.
More about Remote Nurse Reviewer jobs
What are popular job titles related to Remote Nurse Reviewer jobs in Raleigh, NC? For Remote Nurse Reviewer jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Nurse Reviewer jobs in Raleigh, NC look for? The top searched job categories for Remote Nurse Reviewer jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Nurse Reviewer jobs? Cities near Raleigh, NC with the most Remote Nurse Reviewer job openings:
Remote Nurse Reviewer jobs near you
Infographic showing various Remote Nurse Reviewer job openings in Raleigh, NC as of August 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $74,879 per year, or $36 per hour.

Doc Review Specialist I - US Remote based

Fortrea

Durham, NC • Remote

$60K - $70K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 18 days ago

Fortrea rating

8.3

Company rating: 8.3 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

25th of 73 rated research

Job description

Doc Review Specialist I - US

Joining Fortrea as a Document Review Specialist I today and you will have a rewarding career, a chance to work in an energetic & team-oriented workplace and exposure within a world-leading team.

The Document Review Specialist I role is responsible for reviewing Investigator Packages, Informed Consent Forms and Advertisements following project & country specific regulations as well as ICH-GCP, FDA and other regional guidance. Document Review Specialist I is responsible for reviewing revised protocols & core ICF's.

This is full time, remote exempt opportunity based in US.

Key / Core Responsibilities

Review Initial/Amended Investigator Packages to assure compliance with regulatory
requirements before granting regulatory green light to a site to start enrolling patients into the clinical trial.

Review Core/Country/Site Informed Consent Form to assure compliance with sponsor requirements, local regulatory requirements, and Good Clinical Practice (GCP) guidelines.

Review Patient Recruiting materials (Advertisements) to assure compliance with sponsor requirements, local regulatory requirements, and Good Clinical Practice (GCP) guidelines.

Review Investigator Package Plans that document the required quality of documents
included in Investigator Packages following the available SOP with manager oversight.

Review protocol amendment to reconfirm completeness and to assure compliance with Good Clinical Practice (GCP) guidelines.

Review revised Core Informed Consent Forms to reconfirm compliance with sponsor requirements, local regulatory requirements, and Good Clinical Practice (GCP) guidelines Provide input for Corrective and Preventative Actions (CAPAs) related to Document Review activities including Informed Consent Form Review, Patient Recruiting material Review and Investigator Package Review.

And all other duties as needed or assigned.

Required Qualifications

Education:

University/College degree (life science preferred), or certification in a related allied health profession from an appropriate accredited institution (e.g., nursing certification, medical or laboratory technology).
Fluent in English, both written and verbal.
Fortrea may consider relevant and equivalent experience in lieu of educational requirements.

Experience:

Strong knowledge of ICH, FDA, IRB/IEC and other applicable regulations/guidelines.
1 years work experience in clinical research Training Lower-level staff

Work Environment

  • Work is performed in an office environment with exposure to electrical office equipment.
  • Occasional drives to site locations with occasional travel both domestic and international.

Physical Requirements:

Frequently stationary for 6-8 hours per day.
Repetitive hand movement of both hands with the ability to make fast, simple, repeated movements of the fingers, hands, and wrists.
Occasional crouching, stooping, with frequent bending and twisting of upper body and neck.
Ability to access and use a variety of computer software developed both in-house and off-the-shelf.
Light to moderate lifting and carrying (or otherwise moves) objects including luggage and laptop computer with a maximum lift of 15-20 lbs.
Regular and consistent attendance.
Varied hours may be required.

Pay Range: USD $60,000-$70,000

Benefits: All job offers will bebased on a candidate's skills and prior relevant experience, applicabledegrees/certifications,as well as internal equity and market data.Regular, full-time or part-time employees working 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(K), Flexible time off (FTO).

Application Deadline: 8/7/26

#remote

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Learn more about our EEO & Accommodations request here.

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