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Remote Rn Auditor Jobs (NOW HIRING)

Phelps Health

Nurse Auditor Reviewer

Certification/License * Missouri or Compact State RN Licensure required. * Case Management ... Working Conditions * hybrid remote work * must be able to work collaboratively with stakeholders ...

Phelps Health

Nurse Auditor Reviewer

Certification/License * Missouri or Compact State RN Licensure required. * Case Management ... Working Conditions * hybrid remote work * must be able to work collaboratively with stakeholders ...

Ensemble Health Partners

Nurse Auditor

The Nurse Auditor reviews medical records to ensure accuracy, compliance, and appropriate billing ... Remote Work 2024 Great Place to Work certified 2023-2024 * Innovation * Work-Life Flexibility

Ensemble Health Partners, Inc.

Nurse Auditor

The Nurse Auditor reviews medical records to ensure accuracy, compliance, and appropriate billing ... Remote Work 2024 Great Place to Work certified 2023-2024 * Innovation * Work-Life Flexibility

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 ...

Monogram Health

MH FIRST RN - Bilingual

MH First Remote RN - Bilingual The MH FIRST Remote RN - Bilingual is pivotal in providing critical ... Conduct chart auditing during non-peak call volumes. * Emergency/disaster outreach as events occur.

Monogram Health

MH FIRST RN

MH First Remote RN The MH FIRST Remote RN - Bilingual is pivotal in providing critical support to ... Conduct chart auditing during non-peak call volumes. * Emergency/disaster outreach as events occur.

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Remote RN Auditor information

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How much do remote rn auditor jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for remote rn 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 RN Auditor?

A Remote RN Auditor is a registered nurse who reviews medical records, clinical documentation, and billing information to ensure compliance with healthcare regulations and standards—all while working remotely. Their primary focus is to verify accuracy in coding, billing, and adherence to clinical guidelines, often for insurance companies, hospitals, or healthcare organizations. They play a crucial role in identifying errors, preventing fraud, and improving the quality of patient care. This job typically requires an active RN license, strong attention to detail, and experience with healthcare compliance and auditing.

What does a Remote RN Auditor do?

As a remote RN auditor, your job is to review claims and audit financial statements to ensure validity and accuracy. In this role, you may examine documentation from the patient or clinic, evaluate the effectiveness of care, or ensure that claims comply with government regulations. RN auditors often provide advice for cutting costs and contact both healthcare providers and clients to negotiate specific claims or resolve billing issues. Remote RN auditors often work with daily or weekly batches of work as assigned, but in rare cases, you may be asked to prioritize auditing certain material when time is of the essence.

What are the key skills and qualifications needed to thrive as a Remote RN Auditor?

To thrive as a Remote RN Auditor, you need a strong background in nursing, clinical documentation, and auditing practices, typically with an active RN license and experience in medical record review. Familiarity with electronic health record (EHR) systems, coding standards (such as ICD-10 and CPT), and auditing software is essential. Attention to detail, strong analytical thinking, and effective written communication are standout soft skills in this role. These capabilities ensure accurate audits, regulatory compliance, and clear reporting in a remote healthcare environment.

What are some common challenges faced by Remote RN Auditors, and how can they be effectively managed?

Remote RN Auditors often encounter challenges such as navigating complex electronic health record systems, ensuring data accuracy while working independently, and staying updated on frequently changing compliance regulations. To manage these, successful auditors develop strong organizational skills, maintain regular communication with team members, and participate in ongoing training. Proactively seeking clarification on ambiguous cases and leveraging available resources from their organization can also help maintain high-quality audit outcomes and job satisfaction.

What is the difference between Remote Rn Auditor vs Remote Rn Reviewer?

AspectRemote Rn AuditorRemote Rn Reviewer
CertificationsRN license, auditing certifications (e.g., CHAP, RAC)RN license, clinical review certifications
Work EnvironmentHealthcare organizations, insurance companies, auditing firmsHealthcare providers, insurance companies, utilization review
Primary ResponsibilitiesAuditing medical records for compliance, coding accuracy, and billingReviewing medical records for appropriateness and medical necessity

Remote Rn Auditors focus on compliance and coding accuracy through audits, while Remote Rn Reviewers primarily assess medical necessity and appropriateness of care. Both roles require RN licensure and related certifications, often working within healthcare or insurance settings. The key difference lies in their core functions: auditing versus clinical review, though both contribute to quality and compliance in healthcare reimbursement.

How do I become a remote RN auditor?

To become a remote RN auditor, you typically need a valid registered nurse license, relevant experience in healthcare or medical record review, and knowledge of coding and compliance standards such as HIPAA. Many employers also prefer candidates with certifications like Certified Professional Medical Auditor (CPMA) or Certified Coding Specialist (CCS). Strong attention to detail and proficiency with electronic health record systems are essential for success in this role.
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Remote RN Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in the United States as of September 2026, with employment types broken down into 4% As Needed, 53% Full Time, 13% Part Time, and 30% 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

Remote

Phelps Health
Health Care and Social Assistance • 1 - 5K employees
Learn more about Phelps Healthexternal

Other

Posted 14 days ago

Phelps Health rating

6.4

Company rating: 6.4 out of 10

Based on 36 frontline employees who took The Breakroom Quiz

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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