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Remote Rn Abstractor Jobs in Pittsburgh, PA (NOW HIRING)

DataAnnotation

Registered Nurse - AI Trainer

Pittsburgh, PA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

RN - AI Trainer

Pittsburgh, PA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

All JobsRemote Rn Abstractor JobsRemote Rn Abstractor Jobs in Pittsburgh, PA

Remote Rn Abstractor information

See Pittsburgh, PA salary details

$23

$43

$68

How much do remote rn abstractor jobs pay per hour?

As of Jun 27, 2026, the average hourly pay for remote rn abstractor in Pittsburgh, PA is $43.60, according to ZipRecruiter salary data. Most workers in this role earn between $33.37 and $51.83 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Rn Abstractor position, and why are they important?

To excel as a Remote RN Abstractor, a current RN license and clinical nursing experience, particularly in chart review or data abstraction, are essential. Familiarity with electronic health records (EHR) systems and specialized abstraction software, as well as knowledge of coding and compliance standards like ICD-10, are typically required. Exceptional attention to detail, time management, and strong written communication help remote abstractors deliver precise and timely work. These competencies enable accurate data extraction and compliance with healthcare regulations, which are critical for quality reporting and patient care improvement.

Can abstractors work remotely?

Remote Rn Abstractors can work from home, as the role primarily involves reviewing medical records and documentation electronically. Many employers offer remote positions for abstractors, requiring strong computer skills, attention to detail, and familiarity with electronic health record systems. These roles often provide flexible schedules and do not require physical presence in an office.

How to become a nurse abstractor?

To become a nurse abstractor, typically a registered nurse (RN) license is required, along with experience in medical records or healthcare documentation. Certification in medical record analysis or coding, such as the Certified Medical Record Auditor (CMRA), can enhance job prospects. Strong attention to detail and familiarity with electronic health record (EHR) systems are also important.

What is the highest paid remote nursing job?

The highest paid remote nursing jobs typically include roles such as Nurse Informaticist, Nurse Consultant, or Clinical Nurse Specialist, with salaries often exceeding $100,000 annually. These positions usually require advanced certifications, specialized skills, and experience in areas like healthcare technology or management.

What does a typical workday look like for a Remote RN Abstractor, and how is performance measured?

A typical day for a Remote RN Abstractor involves reviewing patient medical records, extracting specific clinical data, and entering information into designated databases or abstraction tools—often with set productivity and accuracy benchmarks. Much of the work is highly independent, but abstractors also collaborate remotely with quality assurance teams, other nurses, and healthcare coders. Performance is usually measured by the volume of completed abstractions, data accuracy rates, and adherence to deadlines. Meeting these metrics ensures that healthcare organizations maintain compliance and high standards in quality reporting. The role offers flexibility in scheduling but requires strong self-discipline and organization.

How much do nurse abstractors make?

Nurse abstractors typically earn between $50,000 and $75,000 annually, depending on experience, location, and employer. Remote positions may offer similar pay rates, with some roles paying higher for specialized skills or certifications in medical coding and data management.

What is a Remote RN Abstractor job?

A Remote RN Abstractor is a registered nurse who reviews and extracts clinical data from medical records for various purposes, such as quality improvement, research, or insurance claims. This role typically involves working from home, using electronic health records (EHR) to ensure data accuracy and compliance with healthcare regulations. Strong analytical skills, attention to detail, and familiarity with coding and medical terminology are essential for success in this position.

What are popular job titles related to Remote Rn Abstractor jobs in Pittsburgh, PA? For Remote Rn Abstractor jobs in Pittsburgh, PA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Abstractor jobs in Pittsburgh, PA look for? The top searched job categories for Remote Rn Abstractor jobs in Pittsburgh, PA are:
What cities near Pittsburgh, PA are hiring for Remote Rn Abstractor jobs? Cities near Pittsburgh, PA with the most Remote Rn Abstractor job openings:
Remote Rn Abstractor jobs near you
Infographic showing various Remote Rn Abstractor job openings in Pittsburgh, PA as of June 2026, with employment types broken down into 1% As Needed, 65% Full Time, 6% Part Time, and 28% Contract. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution, with an average salary of $90,693 per year, or $43.6 per hour.

Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Medical Assistance Expert)

The CKHobbie Group

Pittsburgh, PA • On-site, Remote

$40 - $42/hr

Full-time

PTO

Posted 8 days ago

Job description


Are you a registered nurse ready to take your career in an exciting newdirection-one where your expertise truly makes a difference? JoinPennsylvania's premier Quality Improvement Organization and step into adynamic role focused on advocacy and program integrity through compliance management. Here, you'll champion the needs of vulnerable populations,safeguard the quality of care, and influence healthcare outcomes on ameaningful scale. Enjoy the freedom of working from home, theflexibility and autonomy to manage your workday, and the opportunity forcontinuous professional growth-all while being part of a passionate,mission-driven team dedicated to improving healthcare across theCommonwealth.
In this rewarding role, you'll use your clinical knowledge outside ofthe traditional bedside setting to review and audit claims, supportprogram integrity initiatives, and advocate for beneficiaries across theCommonwealth. You'll enjoy the flexibility of working from home, theautonomy to manage your work, and meaningful opportunities forprofessional growth-all while contributing to a mission that trulymatters.
What You'll Do
  • Conduct clinical reviews and ensure quality, appropriateness, and compliance with healthcare standards
  • Support program integrity efforts by identifying trends, risks, and opportunities for improvement
  • Advocate for beneficiaries, with a strong focus on protecting and improving care for vulnerable populations
  • Apply nursing judgment to analyze medical records, documentation, and billing data
  • Collaborate with interdisciplinary teams, providers, and stakeholders to promote best practices
  • Contribute to quality improvement initiatives that strengthen healthcare delivery across Pennsylvania

What We're Looking For
  • Active, unrestricted Registered Nurse (RN) license
  • Strong clinical background with the ability to apply nursing judgment analytically
  • Interest in advocacy, quality improvement, and healthcare program integrity
  • Excellent written and verbal communication skills
  • Ability to work independently while managing multiple priorities
  • Comfort with technology and electronic medical records

Experience in utilization review, case management, quality improvement, compliance, or claims review is a plus-but not required.
Why Join Us
  • Mission-driven work with Pennsylvania's leading Quality Improvement Organization
  • Make a real impact on healthcare quality and outcomes for vulnerable populations
  • Remote work - enjoy the convenience and balance of working from home
  • Autonomy and flexibility in how you manage your workday
  • Advocacy-focused role that values your nursing voice and expertise
  • Career development opportunities to grow beyond traditional nursing roles
  • Supportive, collaborative team culture committed to excellence and integrity

If you're a registered nurse seeking purpose-driven work,professional growth, and the flexibility to balance your life andcareer-this is your opportunity. Apply today and help shape the future of healthcare quality in Pennsylvania.
Requirements
Be available as a full-time consultant, approximately 37.5 hours per week;
• Possess a current license to practice as a Registered Nurse issued by the Pennsylvania
State Board of Nursing; or possess a non-renewable temporary practice permit issued
by the Pennsylvania State Board of Nursing. Resources possessing non-renewable
temporary practice permits must obtain licensing as a Registered Nurse within the
one-year period as defined by the Pennsylvania State Board of Nursing;
• Possess a documented work history of three (3) or more years of professional
experience with medical assistance, health care services or human services or any
equivalent combination of experience and training;
• Possess basic computer skills, including familiarity with Microsoft Office programs.
Principal Duties and Responsibilities (RN - Utilization Review / Program Integrity)
  • Conduct clinical utilization reviews by evaluating medical records, treatment plans, and supporting documentation to determine medical necessity, appropriateness, quality, and level of care in accordance with Medical Assistance (MA) program requirements.
  • Apply nursing judgment and evidence-based clinical standards to ensure MA recipients receive safe, appropriate, and high-quality care while supporting program integrity and regulatory compliance.
  • Assess provider billing and documentation to verify compliance with MA policies and identify potential fraud, waste, or abuse.
  • Review clinical documentation submitted through electronic provider portals, telephone communications, fax, and U.S. mail, ensuring completeness and accuracy for utilization determinations.
  • Make authorization determinations by approving, modifying, or denying service requests within RN scope of practice, or refer cases to physician advisors for secondary medical review when medical necessity or level of care is unclear.
  • Collaborate with physician/medical consultants to support peer-to-peer reviews and facilitate discussions with ordering providers regarding clinical justification, appropriate care settings, and service coverage.
  • Accurately document utilization review decisions and clinical rationale in electronic systems, generating authorization notices, denial letters, reason codes, and appeal rights in compliance with regulatory standards.
  • Participate in retrospective, concurrent, and prospective utilization reviews, including re-evaluations of previously denied services upon request by providers or facilities.
  • Review and prepare appeal cases by analyzing medical records, developing exhibits and correspondence, and providing testimony at administrative hearings using knowledge of MA regulations, utilization management principles, and appeal processes.
  • Interpret MA policies, regulations, and utilization management guidelines for internal staff, providers, and stakeholders through consultation, meetings, and educational sessions.
  • Engage in interdisciplinary collaboration with internal departments, medical consultants, legal staff, and external stakeholders to support consistent and defensible utilization determinations.
  • Maintain ongoing professional development through continuing education, conferences, and review of current medical literature to remain current with standards of care, clinical guidelines, and utilization review best practices.
  • Provide cross-coverage in other program areas as needed, maintaining competency through training and updates to ensure continuity of program operations.
  • Respond to inquiries from recipients, providers, legislators, legal offices, and external agencies to explain utilization decisions, coverage policies, and administrative processes.
  • Maintain accurate case records and documentation in accordance with MA regulations, accreditation standards, and organizational policies.
  • Perform related duties and special projects as assigned, with expectations and performance standards communicated for each assignment.
  • When required, work at Department-designated locations. The primary duty location is Pittsburgh, PA, where appropriate workspace, technology, and resources will be provided to support assigned responsibilities.

Benefits
Attractive Compensation plan.Holiday and Vacation program.

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